Revive Therapeutics, LLC
NPI #1881270858 in South Windsor, Connecticut
Provider Information
- NPI Number
- 1881270858
- Entity Type
- Organization
- Organization Name
- Revive Therapeutics, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 22, 2021
- Last Updated
- Mar 22, 2021
Practice Location
- Address
- 300 GOVERNORS HWY
- City
- South Windsor
- State
- Connecticut
- ZIP Code
- 06074-2422
- Phone
- (860) 494-3800
Authorized Official
- Name
- CHERYL PLANK, LCSW
- Title
- OWNER
- Phone
- (860) 494-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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