Organization
REVIVE RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAYDEN YOUNGHUSBAND (CEO)
(000) 000-0000
Entity
Organization
Contact information
Practice address
127 W JUANITA AVE STE 110, MESA, AZ 85210-6114
(424) 212-9052
Mailing address
127 W JUANITA AVE STE 110, MESA, AZ 85210-6114
(480) 470-6042
(480) 674-9440
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
04/23/2023
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