Revive Pathway
NPI #1962117440 in El Cajon, California
Provider Information
- NPI Number
- 1962117440
- Entity Type
- Organization
- Organization Name
- Revive Pathway
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jan 18, 2023
- Last Updated
- Jan 18, 2023
Practice Location
- Address
- 1240 BROADWAY
- City
- El Cajon
- State
- California
- ZIP Code
- 92021-4994
- Phone
- (619) 841-1310
Authorized Official
- Name
- ROBERT LOUIS KERSHNER, PT, MBA
- Title
- MANAGER
- Phone
- (619) 841-1310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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