Organization · Type 2 NPI
Revive Recovery LLC
Clinic/Center · Bonita Springs, FL
NPI number
1215522263
Active
Practice location
3541 Bonita Bay Blvd Ste 200
Bonita Springs, FL 34134-1703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Infusion Therapy Clinic/Center | 261QI0500X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1215522263
Revive Recovery LLC's National Provider Identifier is 1215522263, issued on Mar 2, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Bonita Springs, FL. The record was last updated on Mar 2, 2021.