REVIVE F W

HOUSTON, TX
NPI1306460266
Entity TypeOrganization
Authorized ContactJACQUELINE MILLER
Director
713-417-9092
Organization Subpart ?No
Primary Taxonomy261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Additional Taxonomies175T00000X Peer Specialist
261Q00000X Clinic/Center
261QM1300X Clinic/Center, Multi-Specialty
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2020-06-05
Last Update Date2023-04-14