A Life Revival Community Services
NPI #1205715034 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1205715034
- Entity Type
- Organization
- Organization Name
- A Life Revival Community Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 27, 2025
- Last Updated
- Aug 27, 2025
Practice Location
- Address
- 234 GOLDENSTAR LN
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23701-4324
- Phone
- (757) 376-2620
Authorized Official
- Name
- ERIC POWELL II
- Title
- EXECUTIVE DIRECTOR
- Phone
- (757) 376-2620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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