REVIVAL RECOVERY SERVICES NPI 1962898437

NPI Information

REVIVAL RECOVERY SERVICES is a substance abuse rehabilitation facility in Apple Valley, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. REVIVAL RECOVERY SERVICES NPI is 1962898437. The provider is registered as an organization entity type.

The provider's business location address is:

12350 INDIAN RIVER DR
APPLE VALLEY, CA
ZIP 92308-771
Phone: (760) 887-1632
Fax: (760) 961-8173

The provider's authorized official is Raymond J. Perea .
The authorized official title is President and has the following contact phone number (760) 887-1632.

The enumeration date for this NPI number is 4/12/2015 and was last updated on 6/26/2015.

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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