| NPI | 1891308870 |
|---|---|
| Doing Business As | REVITALIZE YOU |
| Entity Type | Organization |
| Authorized Contact | YVONNE JUDGE Owner 937-516-3607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-04-09 |