| NPI | 1215696430 |
|---|---|
| Former Legal Business Name | AVIVA MENTAL HEALTH SERVICES, INC |
| Entity Type | Organization |
| Authorized Contact | SUSMARIA CHARLES Director 610-522-4506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |