Organization
REVIVE TREATMENT CENTERS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA FLOWERS (CEO)
(970) 668-3117
Entity
Organization
Contact information
Practice address
4885 WARD RD, SUITE 300, WHEAT RIDGE, CO 80033-1945
(303) 339-0531
Mailing address
4885 WARD RD, SUITE 300, WHEAT RIDGE, CO 80033
(303) 339-0531
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
07/09/2019
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