Organization
AVA FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE GRAY (EXECUTIVE DIRECTOR)
(919) 454-1672
Entity
Organization
Contact information
Practice address
3455 PEACHTREE RD NE STE 500, ATLANTA, GA 30326-3236
(404) 354-4388
Mailing address
3455 PEACHTREE RD NE STE 500A, ATLANTA, GA 30326-3254
(404) 354-4388
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
MS
Other
Enumeration date
01/17/2018
Last updated
05/23/2025
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