| NPI | 1215780101 |
|---|---|
| Doing Business As | REVIVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | HALEY B ROBBINS Co/Owner / Therapist 309-219-5057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-11-04 |