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Revive Recovery Llc
Adolescent and Children Mental Health Clinic/Center in Bonita Springs, Florida
NPI 1215522263

Revive Recovery Llc is an Adolescent and Children Mental Health Clinic/Center based in Bonita Springs, FL and is specialized in Adolescent and Children Mental Health. Revive Recovery Llc practices in Bonita Springs, FL. The NPI Number for Revive Recovery Llc is 1215522263 and holds a License No. (Florida).

The current practice location address for Revive Recovery Llc is 3541 Bonita Bay Blvd Ste 200, Bonita Springs, FL and can be reached out via phone at 239-908-9958.

Location: 3541 Bonita Bay Blvd Ste 200, Bonita Springs, FL, 34134-1703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215522263
Provider Name
Revive Recovery Llc
Credential
Provider Entity Type
Organization
Address
3541 Bonita Bay Blvd Ste 200, Bonita Springs, FL, 34134-1703
Phone Number
239-908-9958
Fax Number
Provider Enumeration Date
03/02/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3541 Bonita Bay Blvd Ste 200
City
Bonita Springs
State
Florida
Zip
34134-1703
Phone Number
239-908-9958
Fax Number
person
Provider Business Mailing Address Details
Address
3541 Bonita Bay Blvd Ste 200
City
Bonita Springs
State
Florida
Zip
34134-1703
Phone Number
239-908-9958
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Infusion Therapy
Taxonomy
261QI0500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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