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Revive Pathway
Substance Use Disorder Rehabilitation Clinic/Center in El Cajon, California
NPI 1962117440

Revive Pathway is a Substance Use Disorder Rehabilitation Clinic/Center based in Boulder, CA and is specialized in Rehabilitation, Substance Use Disorder. Revive Pathway practices in El Cajon, CA. The NPI Number for Revive Pathway is 1962117440 and holds a License No. (California).

The current practice location address for Revive Pathway is 1240 Broadway, El Cajon, CA and can be reached out via phone at 619-841-1310.

Location: 1240 Broadway, El Cajon, CA, 80301-7002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962117440
Provider Name
Revive Pathway
Credential
Provider Entity Type
Organization
Address
1240 Broadway, El Cajon, CA, 80301-7002
Phone Number
619-841-1310
Fax Number
Provider Enumeration Date
01/18/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1240 Broadway
City
El Cajon
State
California
Zip
92021-4994
Phone Number
619-841-1310
Fax Number
person
Provider Business Mailing Address Details
Address
1240 Broadway
City
El Cajon
State
California
Zip
92021-4994
Phone Number
619-841-1310
Fax Number
person
Provider's Taxonomy Details 1
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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