Revive Pathway

LBN: Revive Pathway
Revive Pathway is an health care organization with primary practice located at 1240 Broadway , El Cajon CA 92021-4994. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Revive Pathway can be contacted via phone (619) 841-1310, or through Kershner, Robert Louis via phone (619) 841-1310.

Contact Information

Primary practice address
1240 Broadway El Cajon CA 92021-4994
Phone: (619) 841-1310
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kershner, Robert Louis PT, MBA
Phone: (619) 841-1310

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1962117440
LBN Legal business name Revive Pathway
DBA Doing business as
Authorized official Kershner, Robert Louis PT, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2023
Last updated Jan 18th, 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.

Request for update

Popular Providers