Revive Ministries, INC

NPI #1376030262 in Lexington, Kentucky

Provider Information

NPI Number: 1376030262
Entity Type: Organization
Organization Name: Revive Ministries, INC
Primary Specialty: Substance Abuse Rehabilitation Facility
Enumeration Date: Apr 17, 2018
Last Updated: Oct 2, 2018

Practice Location

Address: 185 ELM TREE LN
City: Lexington
State: Kentucky
ZIP Code: 40507
Phone: (859) 469-9023

Authorized Official

Name: MR. JEROME A TOMLIAN, LCSW, LCADC
Title: PROGRAM DIRECTOR
Phone: (859) 576-8279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X	Primary

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