| NPI | 1851852545 |
|---|---|
| Doing Business As | AVITA PSYCARE |
| Entity Type | Organization |
| Authorized Contact | KALMAN KHODIK Owner/Director 888-284-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2022-06-13 |