Organization · Type 2 NPI
Revival Reentry
Voluntary or Charitable Agency · Ukiah, CA
NPI number
1477340735
Active
Practice location
521 Capps Ln
Ukiah, CA 95482-7227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider | 174200000X | None listed |
| Lodging Provider | 177F00000X | None listed |
| Local Education Agency (LEA) | 251300000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
Voluntary or Charitable Agency: Definition to come...
Another provider at this address
About NPI 1477340735
Revival Reentry's National Provider Identifier is 1477340735, issued on Apr 21, 2025. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Ukiah, CA. The record was last updated on Apr 21, 2025.