Whalio Doctors

NPI 1376030262

Revive Ministries, INC

Organisation Substance Abuse Rehabilitation Facility Lexington, KY

Practice location

Address
185 Elm Tree Ln, Lexington, KY 40507
Phone
(859) 469-9023
Fax
(859) 881-0045
Mailing address
185 Elm Tree Ln, Lexington, KY 40507-1924

Authorised official

Name
Jerome a Tomlian
Title
Program Director
Phone
(859) 576-8279

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1376030262
Entity type
Organization
NPI issued
17 Apr 2018
Record last updated
2 Oct 2018

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.