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Organization
REVIVE COMMUNITY MENTAL HEALTH CLINICS, LLC
Active
Organization
REVIVE COMMUNITY MENTAL HEALTH CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ABELARDO RIVERA (CHAIRMAN)
(305) 779-3738
Entity
Organization
Contact information
Practice address
5353 SW 8TH ST, CORAL GABLES, FL 33134-2269
(305) 649-4777
(305) 649-2634
Mailing address
5353 SW 8TH ST, CORAL GABLES, FL 33134-2269
(305) 649-4777
(305) 649-2634
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
06/30/2021
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