ALTA BEHAVIORAL HEALTH NPI 1285405753

NPI Information

  • NPI: 1285405753
  • Provider Name: ALTA BEHAVIORAL HEALTH
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: KEYS BEHAVIORAL HEALTH
  • CLIA Number: 22D2311336
  • Address: 890 EAST ST # 5
    TEWKSBURY, MA
    ZIP 01876
  • Phone: (855) 304-5162

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NPI Details

ALTA BEHAVIORAL HEALTH is a substance abuse rehabilitation facility in Tewksbury, MA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ALTA BEHAVIORAL HEALTH NPI is 1285405753. The provider is registered as an organization entity type.
The provider Is Doing Business As Keys Behavioral Health.

The provider's business location address is:

890 EAST ST # 5
TEWKSBURY, MA
ZIP 01876-475
Phone: (855) 304-5162

The provider's authorized official is Ed Lepage .
The authorized official title is Owner and has the following contact phone number (774) 479-1151.

The CLIA number assigned to this NPI record is 22D2311336 - other - outpatient sud with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2024 and was last updated on 8/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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