| NPI | 1639699705 |
|---|---|
| Doing Business As | AVITA COMMUNITY SERVICES |
| Entity Type | Organization |
| Authorized Contact | VICTOR BOWERS CFO 678-513-5702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |