| NPI | 1407622574 |
|---|---|
| Doing Business As | REVIVAL COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | ERIN MEYER Lpc Mh 605-359-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |