Organization · Type 2 NPI
Revival Recovery Services
Substance Abuse Rehabilitation Facility · Apple Valley, CA
NPI number
1962898437
Active
Practice location
12350 Indian River Dr
Apple Valley, CA 92308-6771
Fax (760) 961-8173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 360103AN (CA) |
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 1962898437
Revival Recovery Services's National Provider Identifier is 1962898437, issued on Apr 12, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Apple Valley, CA. The record was last updated on Jun 26, 2015.