| NPI | 1164269213 |
|---|---|
| Doing Business As | REVIVING HOPE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | CIERRA JACKSON CEO 937-502-5037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-08-07 |