Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revival Recovery Services

Organization Substance Abuse Rehabilitation Facility · NPI 1962898437

Revival Recovery Services is a Substance Abuse Rehabilitation Facility in Apple Valley, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

12350 Indian River Dr
Apple Valley, CA 92308-6771
Phone: (760) 887-1632
Fax: (760) 961-8173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 360103AN (CA)

Record details

NPI number1962898437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Perea — President · (760) 887-1632
NPI enumeratedApril 12, 2015
Last updated in NPPESJune 26, 2015
Mailing address12350 Indian River Dr, Apple Valley, CA 92308-6771

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