| NPI | 1891239679 |
|---|---|
| Doing Business As | AVITA OF WELLS |
| Entity Type | Organization |
| Authorized Contact | COURTNEY FREEMAN Senior Executive Director 207-844-0956 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |