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Organization

DEVENS TREATMENT & RECOVERY CENTER, LLC

Active
Parent organization
DEVENS TREATMENT & RECOVERY CENTER, LLC
Other names
Taravista Behavioral Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
DEVENS TREATMENT & RECOVERY CENTER, LLC
Authorized official
MICHAEL P KRUPA (CEO)
(978) 615-5200
Entity
Organization

Contact information

Practice address
85 PATTON RD, DEVENS, MA 01434-4401
(978) 615-5200
Mailing address
85 PATTON RD, DEVENS, MA 01434-4401

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
07/18/2018
Last updated
07/18/2018
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