| NPI | 1760816276 |
|---|---|
| Doing Business As | AVITA OF STROUDWATER |
| Entity Type | Organization |
| Authorized Contact | SHAWN BERTRAM Vice President Of Operations 781-272-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |