Revive F W
Revive F W is a Peer Specialist in Houston, Texas. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 5
Practice location Address checks out
10907 Martindale RdHouston, TX 77048-2011
Phone: (713) 417-9092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X |
|---|---|
| Peer Specialist | Taxonomy 175T00000X |
| Clinic/Center | Taxonomy 261Q00000X |
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X |
Record details
| NPI number | 1306460266 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacqueline Miller — Director · (713) 417-9092 |
| NPI enumerated | June 5, 2020 |
| Last updated in NPPES | April 14, 2023 |
| Certification date | April 14, 2023 |
| Mailing address | 10907 Martindale Rd, Houston, TX 77048-2011 |
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