| NPI | 1871172411 |
|---|---|
| Doing Business As | MIRAVISTA BEHAVIORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KRUPA CEO 978-615-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-02 |