NPI 1023745908

Revive Recovery

Organisation Addiction (Substance Use Disorder) Psychologist Melba, ID

Practice location

Address: 7894 Murphy Rd, Melba, ID 83641-5167
Phone: (909) 241-7555
Mailing address: 2432 W Bay Pointe Ave, Nampa, ID 83651-5038

Authorised official

Name: Sherryl York
Title: Owner
Phone: (909) 241-7555

Registered specialties (3)

Addiction (Substance Use Disorder) Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TA0400X

Other Psychologist providers in Idaho →

Addiction Medicine (Psychiatry & Neurology) Physician

Allopathic & Osteopathic Physicians Taxonomy 2084A0401X

Other Psychiatry & Neurology providers in Idaho →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Idaho →

Registry record

NPI: 1023745908
Entity type: Organization
NPI issued: 2 Aug 2022
Record last updated: 2 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.