NPI | 1841734035 |
---|---|
Doing Business As | REVOLUTION PSYCHIATRIC & ADDICTION TREATMENT |
Entity Type | Organization |
Authorized Contact | RICHARD EDUARDO REPASS Owner 425-652-4812 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Enumeration Date | 2016-12-07 |
Last Update Date | 2023-09-27 |