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

Revive Wellness Center Inc

Organization Recovery Care Clinic/Center · NPI 1235939612

Revive Wellness Center Inc is a Recovery Care Clinic/Center in Minneapolis, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
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

2704 14th Ave S
Minneapolis, MN 55407-1127
Phone: (612) 987-2990
Fax: (612) 987-2990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recovery Care Clinic/Center (primary) Taxonomy 261QR0800X

Record details

NPI number1235939612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anwar Abukar — President · (612) 707-6834
NPI enumeratedMarch 15, 2025
Last updated in NPPESMarch 15, 2025
Certification dateMarch 14, 2025
Mailing address2704 14th Ave S, Minneapolis, MN 55407-1127

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