| NPI | 1609503192 |
|---|---|
| Doing Business As | REVIVE COUNSELING & CONSULTING |
| Entity Type | Organization |
| Authorized Contact | CAMILLE LEWIS Owner/Practitioner 301-379-2034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-11-08 |