Revive Recovery and Wellness

NPI #1366207425 in Waverly, Ohio

Provider Information

NPI Number: 1366207425
Entity Type: Organization
Organization Name: Revive Recovery and Wellness
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Feb 19, 2024
Last Updated: Feb 19, 2024

Practice Location

Address: 1886 BLAIN HWY
City: Waverly
State: Ohio
ZIP Code: 45690-9070
Phone: (740) 708-5019

Authorized Official

Name: DEANNA DEPUGH, CNP
Title: OWNER
Phone: (740) 708-5019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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