NPI | 1760974679 |
---|---|
Doing Business As | AVIVA MENTAL HEALTH SERVICES, INC |
Entity Type | Organization |
Authorized Contact | SUSMARIA CHARLES Clinical Director 610-522-4506 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 144120) |
Enumeration Date | 2018-06-06 |
Last Update Date | 2018-06-06 |