Organization
REVIVAL COUNSELING & RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHIE F BEAR LMAC (OWNER)
(785) 979-9199
Entity
Organization
Contact information
Practice address
2601 ANDERSON AVE STE 104, MANHATTAN, KS 66502-2809
(785) 579-9199
Mailing address
2601 ANDERSON AVE STE 104, MANHATTAN, KS 66502-2809
(785) 579-9199
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
07/01/2022
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