| NPI | 1659058634 |
|---|---|
| Doing Business As | AVISE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KEREY PARNES President 215-479-0228 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2024-10-01 |