REVIVE LIFE LLC

GAITHERSBURG, MD
NPI1740081223
Entity TypeOrganization
Authorized ContactRADHIKA NATARAJ
Authorized Official
301-252-1866
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Additional Taxonomies103T00000X Psychologist
2084P0800X Psychiatry & Neurology, Psychiatry
1041C0700X Social Worker, Clinical
Enumeration Date2025-03-21
Last Update Date2026-03-02
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