Organization · Type 2 NPI
Revive F W
Substance Use Disorder Rehabilitation Clinic/Center · Houston, TX
NPI number
1306460266
Active
Practice location
10907 Martindale Rd
Houston, TX 77048-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1306460266
Revive F W's National Provider Identifier is 1306460266, issued on Jun 5, 2020. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Houston, TX. The record was last updated on Apr 14, 2023.