| NPI | 1699342832 |
|---|---|
| Doing Business As | REVIVE HEALING & WELLNESS INSTITUTE, LLC. |
| Entity Type | Organization |
| Authorized Contact | MELISSA BAUMAN Partner 509-985-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |