Revel Living LLC

NPI #1538637277 in Evanston, Illinois

Provider Information

NPI Number
1538637277
Entity Type
Organization
Organization Name
Revel Living LLC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Nov 12, 2018
Last Updated
Nov 30, 2020

Practice Location

Address
1740 RIDGE AVE STE 305
ZIP Code
60201-5909
Phone
(312) 899-6184

Authorized Official

Name
MARK VAUGHAN, LMFT
Title
OWNER/THERAPIST
Phone
(619) 952-8263

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Clinic/Center - Adult Mental HealthAdult Mental Health

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