| Revive Recovery Center Llc | |
|
127 W Juanita Ave Ste 110 Mesa AZ 85210-6114 | |
| (424) 212-9052 | |
| Not Available |
| Full Name | Revive Recovery Center Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 127 W Juanita Ave Ste 110, Mesa, Arizona |
| Authorized Official Name and Position | Brayden Younghusband (CEO) |
| Authorized Official Contact | 0000000000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Recovery Center Llc 127 W Juanita Ave Ste 110 Mesa AZ 85210-6114 Ph: (480) 470-6042 | Revive Recovery Center Llc 127 W Juanita Ave Ste 110 Mesa AZ 85210-6114 Ph: (424) 212-9052 |
| NPI Number | 1851007272 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 04/23/2023 |
| Certification Date | 04/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851007272 | NPI | - | NPPES |
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