# AVIVA HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891307070
- **Authorized official:** MRS. SUSMARIA CHARLES MHS (CEO)
- **Authorized official phone:** (302) 543-5089

## Contact information

- **Practice address:** 6 DENNY RD STE 104, WILMINGTON, DE 19809-3444
- **Practice address phone:** (610) 522-4506
- **Practice address fax:** (610) 522-4508
- **Mailing address:** 6 DENNY RD STE 104, WILMINGTON, DE 19809-3444
- **Mailing address phone:** (302) 543-5089
- **Mailing address fax:** (302) 397-8279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM2800X | Methadone Clinic | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/19/2020
- **Last updated:** 07/21/2021
