Revolve Recovery, Inc

LBN: Revolve Recovery, Inc
Revolve Recovery, Inc is an health care organization with primary practice located at 3101 Washington Blvd , Marina Del Rey CA 90292-5571. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Revolve Recovery, Inc can be contacted via phone (323) 253-3047, or through Austin, Jonathan via phone (818) 915-5668.

Contact Information

Primary practice address
3101 Washington Blvd Marina Del Rey CA 90292-5571
Phone: (323) 253-3047
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Austin, Jonathan
Phone: (818) 915-5668

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1548997539
LBN Legal business name Revolve Recovery, Inc
DBA Doing business as
Authorized official Austin, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2022
Last updated Aug 1st, 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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