Revive Premier Recovery Inc.
NPI #1427749910 in Studio City, California
Provider Information
- NPI Number
- 1427749910
- Entity Type
- Organization
- Organization Name
- Revive Premier Recovery Inc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 16, 2023
- Last Updated
- May 17, 2023
Practice Location
- Address
- 3630 POTOSI AVE
- City
- Studio City
- State
- California
- ZIP Code
- 91604-4059
- Phone
- (559) 201-3337
Authorized Official
- Name
- MR. KRISTOPHER FRONTELLA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (559) 201-3337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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