| NPI | 1396328118 |
|---|---|
| Doing Business As | MIRAVISTA BEHAVIORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KRUPA CEO 978-615-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-04-29 |