Organization
REVIVE YOUR PATH NETWORK
Active
Organization
REVIVE YOUR PATH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRYSTAL GUINYARD (OWNER)
(704) 774-7070
Entity
Organization
Contact information
Practice address
9625 DAVID TAYLOR DR, CHARLOTTE, NC 28262-2362
(704) 291-1454
Mailing address
169 TACKLE BOX DR, TROUTMAN, NC 28166-0140
(704) 291-1454
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
06/26/2026
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