Revive Vitality INC
NPI #1316771181 in Chatsworth, California
Provider Information
- NPI Number
- 1316771181
- Entity Type
- Organization
- Organization Name
- Revive Vitality INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Aug 26, 2024
- Last Updated
- Aug 26, 2024
Practice Location
- Address
- 21210 TULSA ST
- City
- Chatsworth
- State
- California
- ZIP Code
- 91311-1457
- Phone
- (818) 631-6353
Authorized Official
- Name
- MR. MICHAEL AZOIANI, MS
- Title
- CEO
- Phone
- (818) 631-6353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Substance Abuse Rehabilitation Facility |
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