| Revival Counseling & Recovery Llc | |
|
2601 Anderson Ave Ste 104 Manhattan KS 66502-2809 | |
| (785) 579-9199 | |
| Not Available |
| Full Name | Revival Counseling & Recovery Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2601 Anderson Ave Ste 104, Manhattan, Kansas |
| Authorized Official Name and Position | Cathie F Bear (OWNER) |
| Authorized Official Contact | 7859799199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revival Counseling & Recovery Llc 2601 Anderson Ave Ste 104 Manhattan KS 66502-2809 Ph: (785) 579-9199 | Revival Counseling & Recovery Llc 2601 Anderson Ave Ste 104 Manhattan KS 66502-2809 Ph: (785) 579-9199 |
| NPI Number | 1255941811 |
|---|---|
| Provider Enumeration Date | 08/07/2020 |
| Last Update Date | 07/01/2022 |
| Certification Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255941811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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