REVIVAL PSYCHIATRY AND KETAMINE CLINIC

MESA, AZ
NPI1235847286
Entity TypeOrganization
Authorized ContactERIN JONES
Owner/Provider
480-613-8162
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Additional Taxonomies261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2022-11-08
Last Update Date2022-11-08
Business Address
REVIVAL PSYCHIATRY AND KETAMINE CLINIC
1220 S ALMA SCHOOL RD STE 212
MESA, AZ 85210-2087
Phone number: 480-613-8162
Mailing Address
REVIVAL PSYCHIATRY AND KETAMINE CLINIC
1220 S ALMA SCHOOL RD STE 212
MESA, AZ 85210-2087
Phone number: 480-613-8162