| NPI | 1538817416 |
|---|---|
| Doing Business As | REVIVE MENTAL HEALTH SOLUTIONS LLC |
| Entity Type | Organization |
| Authorized Contact | SONJA STICE Ap RN 785-302-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2024-02-15 |