Organization
HOLYOKE CAPITAL JV, LLC
Active
Other names
MiraVista Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KRUPA ED.D. (CEO)
(978) 615-5200
Entity
Organization
Contact information
Practice address
1233 MAIN ST, HOLYOKE, MA 01040-5381
(413) 701-2600
Mailing address
85 PATTON RD, DEVENS, MA 01434-4401
(978) 877-9938
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
11/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us