| Revive Counseling Family Services | |
|
1265 Dainty Ave Brentwood CA 94513-1211 | |
| (925) 208-9766 | |
| Not Available |
| Full Name | Revive Counseling Family Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1265 Dainty Ave, Brentwood, California |
| Authorized Official Name and Position | Muyiwa Oshewa (SECRETARY) |
| Authorized Official Contact | 9252751600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Counseling Family Services 2252 Camino Ramon San Ramon CA 94583-1353 Ph: (925) 275-1600 | Revive Counseling Family Services 1265 Dainty Ave Brentwood CA 94513-1211 Ph: (925) 208-9766 |
| NPI Number | 1962147975 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Certification Date | 05/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962147975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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