REVIVAL COLLABORATIVE LLC

BENTONVILLE, AR
NPI1407515620
Entity TypeOrganization
Authorized ContactZACH S HEDGES
Owner
479-721-2110
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-12-15
Last Update Date2021-12-15
Business Address
REVIVAL COLLABORATIVE LLC
3700 MEDICAL CENTER PKWY
BENTONVILLE, AR 72712-3222
Phone number: 479-721-2110
Mailing Address
REVIVAL COLLABORATIVE LLC
3202 SW HAZELNUT AVE
BENTONVILLE, AR 72713-3195
Phone number: 479-721-2110
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