| NPI | 1255916987 |
|---|---|
| Doing Business As | REVIVE COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICAH PHILIPS COO 602-717-8599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2023-04-25 |