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Organization
VISTA HEALTH CARE SOLUTION
Active
Organization
VISTA HEALTH CARE SOLUTION
Active
Other names
VISTA MAT LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABILA PRIMUS BENAZEA DNP (CEO)
(781) 521-0302
Entity
Organization
Contact information
Practice address
84 HIGHLAND AVE STE 304, SALEM, MA 01970-2733
(781) 521-0302
Mailing address
9 VISTA AVE, SALEM, MA 01970-1027
(781) 521-0302
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
10/18/2023
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