| NPI | 1922675446 |
|---|---|
| Doing Business As | REVIVAL THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | BRITTANY N HOOVER Owner 814-242-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |