Organization · Type 2 NPI

Revive Therapy Services

Mental Health Clinic/Center (Including Community Mental Health Center) · Philadelphia, PA

NPI number 1225753858 Active

Practice location

4305 Locust St
Philadelphia, PA 19104-5382

Mailing address

4511 Kingsessing Ave Fl 1
Philadelphia, PA 19143-3712

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

2 other providers at this address

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About NPI 1225753858

Revive Therapy Services's National Provider Identifier is 1225753858, issued on Oct 6, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 6, 2022.