Revival Recovery Center Staffing LLC

NPI #1184398331 in Highland, Michigan

Provider Information

NPI Number
1184398331
Entity Type
Organization
Organization Name
Revival Recovery Center Staffing LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 2, 2021
Last Updated
May 5, 2025

Practice Location

Address
208 W HIGHLAND RD STE 102
ZIP Code
48357-4574
Phone
(833) 773-8482

Authorized Official

Name
LISA A PERNA, FNP
Title
OWNER, AUTHORIZED OFFICIAL
Phone
(248) 949-7177

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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