NPI | 1952991374 |
---|---|
Doing Business As | VISTA BEHAVIORAL |
Entity Type | Organization |
Authorized Contact | BRYAN MATTHEW DISIMONE Account Manager 973-277-5359 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-01-20 |
Last Update Date | 2021-01-20 |