| NPI | 1982237921 |
|---|---|
| Doing Business As | REVIVE |
| Entity Type | Organization |
| Authorized Contact | ERIN MORROW Operations Manager 907-373-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |