REVITALIZE COUNSELING & CONSULTATION SERVICES

Mental Health Clinic/Center (Including Community Mental Health Center)

NPI: 1053195263Organization

Specialties, Licenses & Credentials

Counselor

Code: 101Y00000X

Case Management Agency

Case Management

Code: 251B00000X

Community/Behavioral Health Agency

Community/Behavioral Health

Code: 251S00000X

Early Intervention Provider Agency

Code: 252Y00000X

Prison Health Clinic/Center

Clinic/Center — Prison Health

Code: 261QP2400X

Mental Health Clinic/Center (Including Community Mental Health Center)Primary

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Practice Location

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