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

Revive Recovery Center LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1902771777

Revive Recovery Center LLC is a Substance Abuse Rehabilitation Facility in Mesa, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2654 S Vincent
Mesa, AZ 85209-2486
Phone: (480) 470-6042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1902771777
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brayden Younghusband — Ceo · (480) 470-6042
NPI enumeratedOctober 9, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address127 W Juanita Ave Ste 110, Mesa, AZ 85210-6114

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