Revive Outreach, Inc.

LBN: Revive Outreach, Inc.
Revive Outreach, Inc. is an health care organization with primary practice located at 5738 Pamplin Pl , Saint Louis MO 63136-4918. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Revive Outreach, Inc. can be contacted via phone (314) 565-6486, or through Reed, Jamaal via phone (314) 565-6486.

Contact Information

Primary practice address
5738 Pamplin Pl Saint Louis MO 63136-4918
Phone: (314) 565-6486
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reed, Jamaal
Phone: (314) 565-6486

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1740975721
LBN Legal business name Revive Outreach, Inc.
DBA Doing business as
Authorized official Reed, Jamaal
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2023
Last updated Apr 6th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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