| NPI | 1992230288 |
|---|---|
| Doing Business As | REVIVE CENTER FOR WELLNESS |
| Entity Type | Organization |
| Authorized Contact | AMY L ALBERO Managing Member 203-989-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |