| NPI | 1619400330 |
|---|---|
| Doing Business As | AVIVA |
| Entity Type | Organization |
| Authorized Contact | AMANDA SMITH Assistant VP 323-876-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |