NPI | 1225622566 |
---|---|
Doing Business As | MIRAVISTA BEHAVIORAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JOHN BUJAK CFO 978-615-5200 |
Organization Subpart ? | No |
Primary Taxonomy | 273R00000X Psychiatric Unit |
Enumeration Date | 2021-02-26 |
Last Update Date | 2021-02-26 |