REVIVE LIFE LLC

GAITHERSBURG, MD
NPI1740081223
Entity TypeOrganization
Authorized ContactRADHIKA NATARAJ
Authorized Official
301-252-1866
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Additional Taxonomies1041C0700X Social Worker, Clinical
2084P0800X Psychiatry & Neurology, Psychiatry
103T00000X Psychologist
Enumeration Date2025-03-21
Last Update Date2026-03-25
Business Address
REVIVE LIFE LLC
316 E DIAMOND AVE
GAITHERSBURG, MD 20877-3070
Phone number: 206-898-5432
Mailing Address
REVIVE LIFE LLC
316 E DIAMOND AVE
GAITHERSBURG, MD 20877-3070
Phone number: 301-252-1866