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1851070882
REVIVE WELLCO
CLARKSVILLE, TN
NPI
1851070882
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Entity Type
Organization
Authorized Contact
JENNIFER SCHALOW
CEO
501-318-3760
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-07-17
Last Update Date
2024-10-18
Business Address
REVIVE WELLCO
518 LATHAM CT.
CLARKSVILLE, TN 37043
Phone number: 501-318-3760
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Mailing Address
REVIVE WELLCO
919 TINY TOWN RD SUITE B #2021
CLARKSVILLE, TN 37042-7660
Phone number: 501-318-3760
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