| NPI | 1629861224 |
|---|---|
| Doing Business As | REVIVE THERAPEUTIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | AKOS ANTWI CEO 401-648-7172 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2026-01-23 |