Organization
REVISE WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIDDET R ABRAHAMS DNP RN PMHNP-BC (CORPORATE OFFICER)
(210) 953-8566
Entity
Organization
Contact information
Practice address
17806 IH 10 W STE 300, SAN ANTONIO, TX 78257-8222
(210) 953-8566
(830) 264-8021
Mailing address
17806 IH 10 W STE 300, SAN ANTONIO, TX 78257-8222
(210) 953-8566
(830) 264-8021
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
04/04/2024
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