Revival Recovery Services
NPI #1962898437 in Apple Valley, California
Provider Information
- NPI Number
- 1962898437
- Entity Type
- Organization
- Organization Name
- Revival Recovery Services
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Apr 12, 2015
- Last Updated
- Jun 26, 2015
Practice Location
- Address
- 12350 INDIAN RIVER DR
- City
- Apple Valley
- State
- California
- ZIP Code
- 92308-6771
- Phone
- (760) 887-1632
Authorized Official
- Name
- MR. RAYMOND J. PEREA
- Title
- PRESIDENT
- Phone
- (760) 887-1632
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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