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Revive Recovery Center Llc
Substance Use Disorder Rehabilitation Clinic/Center in Mesa, Arizona
NPI 1851007272

Revive Recovery Center Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Mesa, AZ and is specialized in Rehabilitation, Substance Use Disorder. Revive Recovery Center Llc practices in Mesa, AZ. The NPI Number for Revive Recovery Center Llc is 1851007272 and holds a License No. (Arizona).

The current practice location address for Revive Recovery Center Llc is 127 W Juanita Ave Ste 110, Mesa, AZ and can be reached out via phone at 424-212-9052.

Location: 127 W Juanita Ave Ste 110, Mesa, AZ, 85210-6114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851007272
Provider Name
Revive Recovery Center Llc
Credential
Provider Entity Type
Organization
Address
127 W Juanita Ave Ste 110, Mesa, AZ, 85210-6114
Phone Number
424-212-9052
Fax Number
Provider Enumeration Date
01/30/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
127 W Juanita Ave Ste 110
City
Mesa
State
Arizona
Zip
85210-6114
Phone Number
424-212-9052
Fax Number
person
Provider Business Mailing Address Details
Address
127 W Juanita Ave Ste 110
City
Mesa
State
Arizona
Zip
85210-6114
Phone Number
424-212-9052
Fax Number
person
Provider's Taxonomy Details 1
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 2
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.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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