| Revolve Recovery, Inc | |
|
3101 Washington Blvd Marina Del Rey CA 90292-5571 | |
| (323) 253-3047 | |
| Not Available |
| Full Name | Revolve Recovery, Inc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3101 Washington Blvd, Marina Del Rey, California |
| Authorized Official Name and Position | Jonathan Austin (COMPLIANCE OFFICER) |
| Authorized Official Contact | 8189155668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolve Recovery, Inc 1732 Aviation Blvd Ste 317 Redondo Beach CA 90278-2810 Ph: (323) 253-3047 | Revolve Recovery, Inc 3101 Washington Blvd Marina Del Rey CA 90292-5571 Ph: (323) 253-3047 |
| NPI Number | 1548997539 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548997539 | NPI | - | NPPES |
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