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

Revive Vitality Inc

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1316771181

Revive Vitality Inc is a Substance Use Disorder Rehabilitation Clinic/Center in Chatsworth, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21210 Tulsa St
Chatsworth, CA 91311-1457
Phone: (818) 631-6353
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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
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1316771181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Azoiani — Ceo · (818) 631-6353
NPI enumeratedAugust 26, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address21210 Tulsa St, Chatsworth, CA 91311-1457

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