Revival Reentry
NPI #1477340735 in Ukiah, California
Provider Information
- NPI Number
- 1477340735
- Entity Type
- Organization
- Organization Name
- Revival Reentry
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Apr 21, 2025
- Last Updated
- Apr 21, 2025
Practice Location
- Address
- 521 CAPPS LN
- City
- Ukiah
- State
- California
- ZIP Code
- 95482-7227
- Phone
- (707) 376-5086
Authorized Official
- Name
- ASHLEY ELLIOTT
- Title
- PRESIDENT/CEO
- Phone
- (707) 376-5086
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
| Case Management |
| Community/Behavioral Health |
| Local Education Agency (LEA) |
| Meals |
| Lodging |
| Voluntary or Charitable |
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