Organization · Type 2 NPI
New Revive House, LLC
Substance Abuse Rehabilitation Facility · Maricopa, AZ
NPI number
1568053734
Active
Practice location
44263 W. Mcclelland Drive
Maricopa, AZ 85138
Fax (623) 264-5700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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About NPI 1568053734
New Revive House, LLC's National Provider Identifier is 1568053734, issued on Feb 1, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Maricopa, AZ. The record was last updated on Feb 1, 2021.