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1821778788
REVIVE 3.23, LLC
BIRMINGHAM, AL
NPI
1821778788
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Entity Type
Organization
Authorized Contact
JOI IMAN GRESHAM
Owner
205-215-4211
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
REVIVE 3.23, LLC
200 BEACON PKWY W STE 101
BIRMINGHAM, AL 35209-3102
Phone number: 205-215-4211
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Mailing Address
REVIVE 3.23, LLC
301 8TH PL
PLEASANT GROVE, AL 35127-1829
Phone number: 205-215-4211
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