| NPI | 1740832617 |
|---|---|
| Doing Business As | REVIVAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DANNY ALDIS Co Owner 702-401-1345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-03-20 |