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Revival Therapy Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana, Pennsylvania
NPI 1922675446

Revival Therapy Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Indiana, PA and is specialized in Mental Health (Including Community Mental Health Center). Revival Therapy Llc practices in Indiana, PA. The NPI Number for Revival Therapy Llc is 1922675446 and holds a License No. (Pennsylvania).

The current practice location address for Revival Therapy Llc is 1163 Water St Ste 5, Indiana, PA and can be reached out via phone at 724-427-5612.

Location: 1163 Water St Ste 5, Indiana, PA, 15701-1648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922675446
Provider Name
Revival Therapy Llc
Credential
Provider Entity Type
Organization
Address
1163 Water St Ste 5, Indiana, PA, 15701-1648
Phone Number
724-427-5612
Fax Number
Provider Enumeration Date
06/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1163 Water St Ste 5
City
Indiana
State
Pennsylvania
Zip
15701-1648
Phone Number
724-427-5612
Fax Number
person
Provider Business Mailing Address Details
Address
1163 Water St Ste 5
City
Indiana
State
Pennsylvania
Zip
15701-1648
Phone Number
724-427-5612
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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