REVIVE LIFE LLC
Multi-Specialty Clinic/Center · GAITHERSBURG, MD
Organization Active NPI 1740081223
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | ✓ | — | — |
| Psychologist | 103T00000X | — | — | |
| Clinical Social Worker | 1041C0700X | — | — | |
| Psychiatry Physician | 2084P0800X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.