Organization
REVIVE MINISTRIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M JOHNS (ADMIN)
(859) 881-4505
Entity
Organization
Contact information
Practice address
800 S MAIN ST STE C, NICHOLASVILLE, KY 40356-1868
(859) 241-3892
Mailing address
405 W MAPLE ST, NICHOLASVILLE, KY 40356-1215
(859) 241-3892
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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