NPI | 1780348540 |
---|---|
Doing Business As | AUSTIN REVIVE |
Doing Business As | AUSTIN REVIVE THERAPY & WELLNESS |
Entity Type | Organization |
Authorized Contact | KRISTEN MULVIHILL Owner 281-731-1465 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-10-27 |
Last Update Date | 2021-10-29 |