NPI | 1407587132 |
---|---|
Former Legal Business Name | AVOW-U HEALTHCARE SERVICESLLC |
Entity Type | Organization |
Authorized Contact | VIVIEN BAZUAYE Program Manager 916-868-3989 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-06-22 |
Last Update Date | 2025-09-02 |