REVIDAS LLC NPI 1528410610

NPI Information

REVIDAS, LLC is a mental health counselor in Worcester, MA. REVIDAS, LLC NPI is 1528410610. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

108 GROVE ST STE LL11
WORCESTER, MA
ZIP 01605-651
Phone: (508) 304-7499

The provider's authorized official is Christina Y Stanley-martinez .
The authorized official title is Clinical Director and has the following contact phone number (508) 304-7499.

The enumeration date for this NPI number is 7/12/2016 and was last updated on 8/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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