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 |