Organization · Type 2 NPI

Revive Your Path Network

Mental Illness Community Based Residential Treatment Facility · Charlotte, NC

NPI number 1811869464 Active

Practice location

9625 David Taylor Dr
Charlotte, NC 28262-2362

Call (704) 291-1454 Map

Mailing address

169 Tackle Box Dr
Troutman, NC 28166-0140

Other practice locations

  • 169 Tackle Box Dr, Troutman, NC 28166-0140 · (704) 291-1454

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

4 other providers at this address

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About NPI 1811869464

Revive Your Path Network's National Provider Identifier is 1811869464, issued on Sep 23, 2025. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 26, 2026.