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Revive Housing Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Salisbury, North Carolina
NPI 1083237986

Revive Housing Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Salisbury, NC. Revive Housing Llc practices in Salisbury, NC. The NPI Number for Revive Housing Llc is 1083237986 and holds a License No. (North Carolina).

The current practice location address for Revive Housing Llc is 523 N Long St, Salisbury, NC and can be reached out via phone at 281-217-7857.

Location: 523 N Long St, Salisbury, NC, 28144-4301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083237986
Provider Name
Revive Housing Llc
Credential
Provider Entity Type
Organization
Address
523 N Long St, Salisbury, NC, 28144-4301
Phone Number
281-217-7857
Fax Number
Provider Enumeration Date
05/26/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
523 N Long St
City
Salisbury
State
North Carolina
Zip
28144-4429
Phone Number
281-217-7857
Fax Number
person
Provider Business Mailing Address Details
Address
523 N Long St
City
Salisbury
State
North Carolina
Zip
28144-4429
Phone Number
281-217-7857
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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