Organization
PSYCHIATRIC BEHAVIORAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REVMAX TECHNOLOGIES (ENROLLMENT MANAGER)
(720) 784-9413
Entity
Organization
Contact information
Practice address
3556 DARTMOUTH LN, ROWLAND HGHTS, CA 91748-5136
(562) 304-5150
(565) 623-1710
Mailing address
3556 DARTMOUTH LN, ROWLAND HGHTS, CA 91748-5136
(562) 304-5150
(565) 623-1710
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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