Organization
AVIVA MENTAL HEALTH SERVICES INC
Active
Parent organization
AVIVA MENTAL HEALTH SERVICES INC
Other names
Aviva mental Health Services, inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVIVA MENTAL HEALTH SERVICES INC
Authorized official
SUSMARIA CHARLES (DIRECTOR)
(610) 522-4506
Entity
Organization
Contact information
Practice address
320 MACDADE BLVD STE 205, COLLINGDALE, PA 19023-1926
(610) 522-4506
(610) 522-4508
Mailing address
320 MACDADE BLVD STE 205, COLLINGDALE, PA 19023-1926
(610) 522-4506
(610) 522-4508
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034994870001
—
PA
Enumeration date
12/15/2021
Last updated
12/15/2021
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