Avie Ida's Enterprises LLC

NPI #1295423648 in Sicklerville, New Jersey

Provider Information

NPI Number
1295423648
Entity Type
Organization
Organization Name
Avie Ida's Enterprises LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 25, 2023
Last Updated
Apr 25, 2023

Practice Location

Address
1 CARRIE PLACE
ZIP Code
08081
Phone
(215) 380-5441

Authorized Official

Name
MS. JESSICA KATHLINE COURSEY
Title
OWNER
Phone
(267) 216-7239

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Community/Behavioral Health

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