| NPI | 1104650985 |
|---|---|
| Doing Business As | AEVUM BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | LEVI LIPOVENKO CEO 848-210-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-09-21 |