| Revive, Rejuvenate, Renew, Llc | |
|
1 Mckayla Dr New Milford CT 06776-4666 | |
| (860) 960-4470 | |
| Not Available |
| Full Name | Revive, Rejuvenate, Renew, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 Mckayla Dr, New Milford, Connecticut |
| Authorized Official Name and Position | Jennifer Reid (OWNER/OPERATOR) |
| Authorized Official Contact | 8609604470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive, Rejuvenate, Renew, Llc 1 Mckayla Dr New Milford CT 06776-4666 Ph: (860) 960-4470 | Revive, Rejuvenate, Renew, Llc 1 Mckayla Dr New Milford CT 06776-4666 Ph: (860) 960-4470 |
| NPI Number | 1912606526 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912606526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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