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Revival Recovery Services
Substance Abuse Rehabilitation Facility in Apple Valley, California
NPI 1962898437

Revival Recovery Services is a Substance Abuse Rehabilitation Facility based in Apple Valley, CA. Revival Recovery Services practices in Apple Valley, CA. The NPI Number for Revival Recovery Services is 1962898437 and holds a License No. 360103AN (California).

The current practice location address for Revival Recovery Services is 12350 Indian River Dr, Apple Valley, CA and can be reached out via phone at 760-887-1632 and via fax at 760-961-8173.

Location: 12350 Indian River Dr, Apple Valley, CA, 92308-6771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962898437
Provider Name
Revival Recovery Services
Credential
Provider Entity Type
Organization
Address
12350 Indian River Dr, Apple Valley, CA, 92308-6771
Phone Number
760-887-1632
Fax Number
760-961-8173
Provider Enumeration Date
04/12/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12350 Indian River Dr
City
Apple Valley
State
California
Zip
92308-6771
Phone Number
760-887-1632
Fax Number
760-961-8173
person
Provider Business Mailing Address Details
Address
12350 Indian River Dr
City
Apple Valley
State
California
Zip
92308-6771
Phone Number
760-887-1632
Fax Number
760-961-8173
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
360103AN (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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