NPI | 1063876241 |
---|---|
Doing Business As | TARAVISTA BEHAVIORAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL PHILIP KRUPA Chief Executive Officer 781-979-0700 |
Organization Subpart ? | No |
Primary Taxonomy | 283Q00000X Psychiatric Hospital |
Enumeration Date | 2016-04-13 |
Last Update Date | 2016-04-13 |