Revive Recovery

LBN: Revive Recovery
Revive Recovery is an health care organization with primary practice located at 7894 Murphy Rd , Melba ID 83641-5167. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Medicine, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Revive Recovery can be contacted via phone (909) 241-7555, or through York, Sherryl via phone (909) 241-7555.

Contact Information

Primary practice address
7894 Murphy Rd Melba ID 83641-5167
Phone: (909) 241-7555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: York, Sherryl Registered Nurse (RN)
Phone: (909) 241-7555

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1023745908
LBN Legal business name Revive Recovery
DBA Doing business as
Authorized official York, Sherryl Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2022
Last updated Aug 2nd, 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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