Avita Alternative Solutions for Life

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

AVITA ALTERNATIVE SOLUTIONS FOR LIFE

Doing business as

None

Practice address

14 Oakland Ave
Jersey City, NJ 07306-2619

Phone

(201) 344-9643

NPI assigned

Sep 24, 2016

Last updated

Sep 24, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lenore Fair

Title

Consultant

Phone

(201) 344-9643

Specialties & licenses 1

Addresses

Other names 1

• None Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474675200000",
    "number": "1437608023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OAKLAND AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062619",
            "telephone_number": "201-344-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OAKLAND AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062619",
            "telephone_number": "201-344-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVITA ALTERNATIVE SOLUTIONS FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "LENORE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "201-344-9643",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.