AVITA INTEGRATIVE CARE, LLC
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1821530148- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 440 WEST ST STE 312, FORT LEE, NJ, 070245028
- Phone
- (888) 242-2732
- Fax
- (888) 242-2732
Specialties & Taxonomies
Psychologist
License: NJ #0450041113
Psychologist
License: NY #021116
Psychologist, Clinical
Primary License: NJ #0450041113