| NPI | 1609503192 |
|---|---|
| Doing Business As | REVIVE WELLNESS |
| Doing Business As | REVIVE WELLNESS INC |
| Entity Type | Organization |
| Authorized Contact | CAMILLE A LEWIS Owner 301-276-1151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2025-05-16 |