| NPI | 1457919516 |
|---|---|
| Doing Business As | REVIBE THERAPY |
| Entity Type | Organization |
| Authorized Contact | JOSE MIGUEL DE LA CRUZ Hypnotherapist/ Psychotherapist 407-801-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2020-05-29 |