| NPI | 1629721022 |
|---|---|
| Doing Business As | CLARVIDA |
| Entity Type | Organization |
| Authorized Contact | PATRICK WATERS Executive Director 706-200-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-07-10 |