Organization
REVIVE CRISIS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY WILLIAMS (OWNER)
(702) 273-6142
Entity
Organization
Contact information
Practice address
2027 REVERE ST, LAS VEGAS, NV 89106-2349
(702) 273-6142
Mailing address
2027 REVERE ST, LAS VEGAS, NV 89106-2349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
01/11/2022
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