| NPI | 1174342950 |
|---|---|
| Doing Business As | REVITALIZE BEHAVIORAL SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | JESSICA VALDIVIA Owner 757-553-8416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |