REVIVE THERAPEUTIC SERVICES INC

PROVIDENCE, RI
NPI1629861224
Entity TypeOrganization
Authorized ContactAKOS ANTWI
CEO
401-648-7172
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Additional Taxonomies251B00000X Case Management
Enumeration Date2025-05-27
Last Update Date2025-05-27
Business Address
REVIVE THERAPEUTIC SERVICES INC
845 N MAIN ST STE L1B
PROVIDENCE, RI 02904-5775
Phone number: 401-648-7172
Mailing Address
REVIVE THERAPEUTIC SERVICES INC
PO BOX 3085
PAWTUCKET, RI 02861-0585
Phone number: 401-648-7172