Organization
AAVA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA IVEY (PRESIDENT)
(919) 201-5480
Entity
Organization
Contact information
Practice address
603 S WALL ST, BENSON, NC 27504-1823
(919) 894-2282
(919) 894-2269
Mailing address
1302 N JOHNSON ST, BENSON, NC 27504-6602
(919) 894-2282
(919) 894-2269
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/24/2009
Last updated
01/08/2010
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