Avita Nova
Avita Nova is a Community/Behavioral Health Agency in Lake Forest, California. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1202 Bellecour WayLake Forest, CA 92630-7944
Phone: (949) 939-8032
Fax: (949) 525-4759
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Early Intervention Provider Agency | Taxonomy 252Y00000X |
Record details
| NPI number | 1780937235 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Erica Holding — Owner · (949) 939-8032 |
| NPI enumerated | October 22, 2012 |
| Last updated in NPPES | October 22, 2012 |
| Mailing address | 1202 Bellecour Way, Lake Forest, CA 92630-7944 |
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