| NPI | 1588333611 |
|---|---|
| Doing Business As | REVIVE PSYCHIATRIC AND PSYCHOLOGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | HEDIEH AZADMEHR President 858-877-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2021-09-11 |