| NPI | 1992174916 |
|---|---|
| Doing Business As | RE:VIVE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH NELSON Licensed Professional Counselor 913-396-9428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2813) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |