OrganizationActive
Revive Recovery
NPI 1023745908 · Addiction (Substance Use Disorder) Psychologist · Melba, ID
Provider details
- NPI number
- 1023745908
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Sherryl York, Owner
Mailing address
2432 W Bay Pointe Ave
Nampa, ID 83651-5038
Registry dates
- Enumerated
- 2022-08-02
- Last updated
- 2022-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.