ALTA BEHAVIORAL HEALTH; NPI #1285405753

Contact Information

ALTA BEHAVIORAL HEALTH

890 EAST ST # 5
TEWKSBURY, MA 01876-1475

Phone: 855-304-5162
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for ALTA BEHAVIORAL HEALTH

NPI #	`1285405753`
LBN Legal business name	ALTA BEHAVIORAL HEALTH
Authorized official	ED LEPAGE - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/12/2024
Last updated	04/02/2026 - About 2 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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