Organization
REVIVE BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DINH PMHNP-BC (OWNER)
(508) 444-9783
Entity
Organization
Contact information
Practice address
287 GROVE STREET, BUILDING D, SUITE 204, WORCESTER, MA 01605
(508) 444-9783
(508) 794-7167
Mailing address
287 GROVE STREET, BUILDING D, SUITE 204, WORCESTER, MA 01605
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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