| NPI | 1417414152 |
|---|---|
| Doing Business As | AVITA OF WELLS |
| Entity Type | Organization |
| Authorized Contact | WENDY NOWOKUNSKI President 781-238-4856 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |