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
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279930
LICENSE NUMBER
MA
Enumeration date
02/24/2023
Last updated
10/18/2023
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