Revive Premier Treatment Center
NPI #1184354946 in Studio City, California
Provider Information
- NPI Number
- 1184354946
- Entity Type
- Organization
- Organization Name
- Revive Premier Treatment Center
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jun 14, 2022
- Last Updated
- Jul 11, 2022
Practice Location
- Address
- 13111 VENTURA BLVD
- City
- Studio City
- State
- California
- ZIP Code
- 91604-2218
- Phone
- (559) 201-3337
Authorized Official
- Name
- MR. KRISTOPHER FRONTELLA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (559) 201-3337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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