Organization
REVIVE F W
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MILLER (DIRECTOR)
(713) 417-9092
Entity
Organization
Contact information
Practice address
10907 MARTINDALE RD, HOUSTON, TX 77048-2011
(713) 417-9092
Mailing address
10907 MARTINDALE RD, HOUSTON, TX 77048-2011
(713) 417-9092
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/05/2020
Last updated
04/14/2023
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