| NPI | 1336634914 |
|---|---|
| Former Legal Business Name | AVIVA MENTAL HEALTH SERVICES INC |
| Entity Type | Organization |
| Authorized Contact | SUSMARIA CHARLES Clinical Director 610-522-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 237103) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |