Organization · NPI-2

Aviva Health Services INC

Clinic/Center · Wilmington, DE

NPI number1891307070

StatusActive

Last updated in NPPESJul 21, 2021

Details

NPI: 1891307070
Entity type: Organization (NPI-2)
Legal business name: Aviva Health Services INC
Organization subpart: No
Enumeration date: Aug 19, 2020
Certification date: Jul 21, 2021
Last updated: Jul 21, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261Q00000X	Clinic/Center	–	–	Yes
251S00000X	Community/Behavioral Health	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
261QM2800X	Clinic/Center, Methadone Clinic	–	–
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–

Practice location

6 Denny Rd Ste 104
Wilmington, DE 19809-3444

Phone 610-522-4506 · Fax 610-522-4508

Mailing address

6 Denny Rd Ste 104
Wilmington, DE 19809-3444

Phone 302-543-5089 · Fax 302-397-8279

Authorized official

Susmaria Charles
Ceo
3025435089

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