| NPI | 1497519722 |
|---|---|
| Other Name | AVENA PSYCHOLOGICAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | JOLIE AVENA Owner 347-378-4588 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |