Organization
AVITITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DWYER-CLONTS (OWNER)
(612) 249-3656
Entity
Organization
Contact information
Practice address
315 WAITE AVE S, SUITE 301, WAITE PARK, MN 56387-1468
(612) 249-3656
Mailing address
315 WAITE AVE S, SUITE 301, WAITE PARK, MN 56387-1468
(612) 249-3656
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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