| NPI | 1225520885 |
|---|---|
| Doing Business As | AVITA FAMILY THERAPY |
| Doing Business As | AVITA WELLNESS CENTER |
| Doing Business As | AVITA THERAPY CENTER |
| Doing Business As | AVITA WELLNESS |
| Doing Business As | AVITA THERAPY AND WELLNESS |
| Doing Business As | AVITA THERAPY |
| Entity Type | Organization |
| Authorized Contact | SARA HIRAD Director Of Therapy Services 858-361-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-08-25 |