Revive Premier Treatment Center

LBN: Revive Premier Treatment Center
Revive Premier Treatment Center is an health care organization with primary practice located at 13111 Ventura Blvd , Studio City CA 91604-2218. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Revive Premier Treatment Center can be contacted via phone (559) 201-3337, or through Frontella, Kristopher via phone (559) 201-3337.

Contact Information

Primary practice address
13111 Ventura Blvd Studio City CA 91604-2218
Phone: (559) 201-3337
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frontella, Kristopher
Phone: (559) 201-3337

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1184354946
LBN Legal business name Revive Premier Treatment Center
DBA Doing business as
Authorized official Frontella, Kristopher
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2022
Last updated Jul 11th, 2022 - 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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