Organization
AVITA ALTERNATIVE SOLUTIONS FOR LIFE
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LENORE FAIR (CONSULTANT)
(201) 344-9643
Entity
Organization
Contact information
Practice address
14 OAKLAND AVE, JERSEY CITY, NJ 07306-2619
(201) 344-9643
Mailing address
14 OAKLAND AVE, JERSEY CITY, NJ 07306-2619
(201) 344-9643
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2016
Last updated
09/24/2016
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