NPI 1649347360

Revive Wellness Center, LLC

Organisation Naturopath New Haven, CT

Practice location

Address: 867 Whalley Ave, New Haven, CT 06515-1728
Phone: (203) 387-1540
Fax: (203) 387-8151

Authorised official

Name: Emmanuel Sergentakis
Title: Owner
Phone: (203) 387-1540

Registered specialties (2)

Naturopath Primary

Other Service Providers Taxonomy 175F00000X Licence 240 (CT)

Other Naturopath providers in Connecticut →

Acupuncturist

Other Service Providers Taxonomy 171100000X Licence 205 (CT)

Other Acupuncturist providers in Connecticut →

Registry record

NPI: 1649347360
Entity type: Organization
NPI issued: 29 Nov 2006
Record last updated: 5 Nov 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.