Organization
AVA CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR HEISSLER (PRESIDENT)
(503) 680-5285
Entity
Organization
Contact information
Practice address
75 NW AVA AVE, GRESHAM, OR 97030-7019
(503) 680-5285
Mailing address
75 NW AVA AVE, GRESHAM, OR 97030-7019
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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