Revival Mental Health Llc

LBN: Revival Mental Health Llc
Revival Mental Health Llc is an health care organization with primary practice located at 9879 Hamilton Ave , Fountain Valley CA 92708-5117. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Revival Mental Health Llc can be contacted via phone (949) 606-4681, or through Michaelis, Tyler via phone (949) 606-4681.

Contact Information

Primary practice address
9879 Hamilton Ave Fountain Valley CA 92708-5117
Phone: (949) 606-4681
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Michaelis, Tyler
Phone: (949) 606-4681

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1922721083
LBN Legal business name Revival Mental Health Llc
DBA Doing business as
Authorized official Michaelis, Tyler
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2022
Last updated Jan 10th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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