Organization · Type 2 NPI

Revive Pathway

Substance Use Disorder Rehabilitation Clinic/Center · El Cajon, CA

NPI number 1962117440 Active

Practice location

1240 Broadway
El Cajon, CA 92021-4994

Call (619) 841-1310 Map

Mailing address

6650 Gunpark Dr
Boulder, CO 80301-7002

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

15 other providers at this address

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About NPI 1962117440

Revive Pathway's National Provider Identifier is 1962117440, issued on Jan 18, 2023. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in El Cajon, CA. The record was last updated on May 6, 2026.