Avita Hope, LLC
Clinic/Center in Jersey City, NJ. Organization (NPI-2).
NPI number1265165930
StatusActive
Last updated in NPPESApr 14, 2025
Details
- NPI
- 1265165930
- Entity type
- Organization (NPI-2)
- Legal business name
- Avita Hope, LLC
- Organization subpart
- No
- Enumeration date
- Jul 8, 2022
- Certification date
- Apr 14, 2025
- Last updated
- Apr 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
591 Summit AvenueSuite 101
Jersey City, NJ 07306
Phone 201-300-0160 · Fax 201-300-0165
Mailing address
591 Summit AvenueSuite 101
Jersey City, NJ 07306
Phone 201-300-0160 · Fax 201-300-0165
Authorized official
Lou Turdo
Ceo
2013000160
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