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1851070882
REVIVE WELLNESS COMPANY
NORTH LITTLE ROCK, AR
NPI
1851070882
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Entity Type
Organization
Authorized Contact
JENNIFER SCHALOW
Clinical Director
501-318-3760
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
REVIVE WELLNESS COMPANY
7369 RIVER POINTE DR APT 13
NORTH LITTLE ROCK, AR 72113-7087
Phone number: 501-318-3760
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Mailing Address
REVIVE WELLNESS COMPANY
5512 SOUTHALL DR SW APT A
BOLLING AFB, DC 20032-7609
Phone number: 501-318-3760
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