Organization
AVITA FAMILY THERAPY AND WELLNESS CENTER, INC.
Active
Organization
AVITA FAMILY THERAPY AND WELLNESS CENTER, INC.
Active
Other names
Avita Therapy and Wellness, Avita Wellness, Avita Wellness Center, Avita Therapy, Avita Family Therapy, Avita Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA HIRAD PSY.D. (DIRECTOR OF THERAPY SERVICES)
(858) 361-9228
Entity
Organization
Contact information
Practice address
9666 BUSINESSPARK AVE STE 207, SAN DIEGO, CA 92131
(858) 367-0525
(858) 367-8383
Mailing address
PO BOX 2498, DEL MAR, CA 92014-1798
(858) 361-9228
(858) 367-8383
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/30/2018
Last updated
08/25/2018
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