REVIVAL PSYCHIATRY AND KETAMINE CLINIC

Psychiatric/Mental Health Nurse Practitioner

NPI: 1235847286Organization

Specialties, Licenses & Credentials

Multi-Specialty Clinic/Center

Clinic/Center — Multi-Specialty

Code: 261QM1300X

Psychiatric/Mental Health Nurse PractitionerPrimary

Nurse Practitioner — Psychiatric/Mental Health

Code: 363LP0808X

Contact & Hours

Address: 1220 S ALMA SCHOOL RD STE 212
MESA, AZ 85210
Phone: (480) 613-8162

Quick Facts

NPI: 1235847286
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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