Organization · Type 2 NPI

Avita Family Therapy and Wellness Center, Inc.

Community/Behavioral Health Agency · San Diego, CA

NPI number 1225520885 Active

Practice location

9666 Businesspark Ave Ste 207
San Diego, CA 92131

Call (858) 367-0525 Map

Fax (858) 367-8383

Mailing address

PO Box 2498
Del Mar, CA 92014-1798

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist	106H00000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

3 other providers at this address

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NPI record

NPI: 1225520885
Entity type: Organization (Type 2)
Issued: May 30, 2018
Last updated: Aug 25, 2018
Status: Active

Other names

<unavail>
Avita Family Therapy · doing business as
Avita Therapy · doing business as
Avita Therapy Center · doing business as
Avita Therapy and Wellness · doing business as
Avita Wellness · doing business as
Avita Wellness Center · doing business as

Authorized official

Sara Hirad, PSY.D.
Director of Therapy Services
(858) 361-9228

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225520885

Avita Family Therapy and Wellness Center, Inc.'s National Provider Identifier is 1225520885, issued on May 30, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 25, 2018.