Organization
REVIVE MINISTRIES INC
Active
Other names
New Dawn Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M JOHNS (ADMIN)
(859) 881-4505
Entity
Organization
Contact information
Practice address
104 S 2ND ST, NICHOLASVILLE, KY 40356-1553
(859) 241-3892
Mailing address
800 S MAIN ST STE C, NICHOLASVILLE, KY 40356-1868
(859) 241-3892
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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