Organization
HOLYOKE OPERATOR LLC
Active
Other names
MiraVista Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BUJAK (CFO)
(978) 615-5200
Entity
Organization
Contact information
Practice address
1233 MAIN ST, HOLYOKE, MA 01040-5381
(978) 615-5200
Mailing address
85 PATTON RD, DEVENS, MA 01434-4401
(978) 615-5200
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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