Organization
AVILA RESIDENTIAL SERVICES, INC.
Active
Parent organization
AVILA RESIDENTIAL SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVILA RESIDENTIAL SERVICES, INC.
Authorized official
MR. NICK R AVILA III (EXECUTIVE DIRECTOR)
(276) 238-7100
Entity
Organization
Contact information
Practice address
545 E STUART DR, GALAX, VA 24333-2218
(276) 238-7100
Mailing address
103 COUNTRY CLUB LN, GALAX, VA 24333-2318
(276) 238-7100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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