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Organization
REVIVE COUNSELING FAMILY SERVICES
Active
Organization
REVIVE COUNSELING FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUYIWA OSHEWA (SECRETARY)
(925) 275-1600
Entity
Organization
Contact information
Practice address
1265 DAINTY AVE, BRENTWOOD, CA 94513-1211
(925) 208-9766
Mailing address
2252 CAMINO RAMON, SAN RAMON, CA 94583-1353
(925) 275-1600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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