Organization · Type 2 NPI

A Life Revival Community Services

Community/Behavioral Health Agency · Portsmouth, VA

NPI number 1205715034 Active

Practice location

234 Goldenstar Ln
Portsmouth, VA 23701-4324

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1205715034

A Life Revival Community Services's National Provider Identifier is 1205715034, issued on Aug 27, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Portsmouth, VA. The record was last updated on Aug 27, 2025.