Organization · NPI-2

Aviva Mental Health Services INC

Community/Behavioral Health · Wilmington, DE

NPI number1144830738
StatusActive
Last updated in NPPESAug 7, 2020

Details

NPI
1144830738
Entity type
Organization (NPI-2)
Legal business name
Aviva Mental Health Services INC
Organization subpart
No
Enumeration date
Aug 7, 2020
Certification date
Aug 7, 2020
Last updated
Aug 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
2084P0800X Psychiatry & Neurology, Psychiatry––

Practice location

219 W 9th St
Wilmington, DE 19801-1619

Phone 610-522-4506 · Fax 610-522-4508

Mailing address

320 Macdade Blvd Ste 205
Darby, PA 19023-1926

Phone 610-522-4506 · Fax 610-522-4508

Authorized official

Susmaria Charles
Ceo
6105224506

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Behavioral Health providers in Wilmington, DE