Organization
REVIVE COMMUNITY MENTAL HEALTH CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ABELARDO RIVERA (CHAIRMAN)
(305) 779-3738
Entity
Organization
Contact information
Practice address
5353 SW 8TH ST, CORAL GABLES, FL 33134-2269
(305) 649-4777
(305) 649-2634
Mailing address
5353 SW 8TH ST, CORAL GABLES, FL 33134-2269
(305) 649-4777
(305) 649-2634
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
06/30/2021
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