REVIVE CLINIC LLC

COLUMBIA, MD
NPI1003797176
Entity TypeOrganization
Authorized ContactDENISHA CUFFEE
Owner
443-328-4810
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2025-09-08
Last Update Date2025-10-28
Business Address
REVIVE CLINIC LLC
10101 TWIN RIVERS ROAD APT 401
COLUMBIA, MD 21044
Phone number: 443-328-4810
Mailing Address
REVIVE CLINIC LLC
5457 TWIN KNOLLS RD STE 300
COLUMBIA, MD 21045-3296
Phone number: 443-328-4810