Revive Wellness Center INC
NPI #1235939612 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1235939612
- Entity Type
- Organization
- Organization Name
- Revive Wellness Center INC
- Primary Specialty
- Clinic/Center - Recovery Care
- Enumeration Date
- Mar 15, 2025
- Last Updated
- Mar 15, 2025
Practice Location
- Address
- 2704 14TH AVE S
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55407-1127
- Phone
- (612) 987-2990
Authorized Official
- Name
- ANWAR MUSTAFA ABUKAR
- Title
- PRESIDENT
- Phone
- (612) 707-6834
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Recovery Care — Recovery Care |
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