Organization · Type 2 NPI

River Sage Revival

Community/Behavioral Health Agency · Lake Isabella, CA

NPI number 1245048388 Active

Practice location

6400 Lake Isabella Blvd
Lake Isabella, CA 93240-9475

Fax (844) 690-3289

Mailing address

PO Box 1
Lake Isabella, CA 93240-0001

Other practice locations

  • 136 S Main St Ste 2, Bishop, CA 93514-3415 · (760) 614-1157

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Psychologist 103T00000XNone listed
Marriage & Family Therapist 106H00000XNone listed
Case Management Agency 251B00000XNone listed
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed
Voluntary or Charitable Agency 251V00000XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone 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 1245048388

River Sage Revival's National Provider Identifier is 1245048388, issued on Dec 20, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Lake Isabella, CA. The record was last updated on Jul 28, 2026.