| NPI | 1588730378 |
|---|---|
| Doing Business As | REVERE MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | UMA ZYKOFSKY Deputy Director 916-875-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2006-11-26 |
| Last Update Date | 2014-09-25 |