Organization · Type 2 NPI

Avita Nova

Community/Behavioral Health Agency · Lake Forest, CA

NPI number 1780937235 Active

Practice location

1202 Bellecour Way
Lake Forest, CA 92630-7944

Fax (949) 525-4759

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed
Early Intervention Provider Agency	252Y00000X	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…

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About NPI 1780937235

Avita Nova's National Provider Identifier is 1780937235, issued on Oct 22, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Lake Forest, CA. The record was last updated on Oct 22, 2012.