Organization · Type 2 NPI
Revitalize Psychiatry, PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Charlotte, NC
NPI number
1720792799
Active
Practice location
11220 Elm Ln Ste 203-9
Charlotte, NC 28277-0715
Fax (704) 533-9516
Mailing address
8022 Providence Rd Ste 500-229
Charlotte, NC 28277-9719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1720792799
Revitalize Psychiatry, PLLC's National Provider Identifier is 1720792799, issued on Jan 13, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Charlotte, NC. The record was last updated on Apr 2, 2023.