OrganizationActive
Revive Wellness Center Inc
NPI 1235939612 · Recovery Care Clinic/Center · Minneapolis, MN
Provider details
- NPI number
- 1235939612
- Entity type
- Organization
- Primary specialty
- Recovery Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anwar Abukar, President(612) 707-6834
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2704 14th Ave S
Minneapolis, MN 55407-1127
Phone: (612) 987-2990
Fax: (612) 987-2990
Approximate (ZIP-level) locationGet directions
Mailing address
2704 14th Ave S
Minneapolis, MN 55407-1127
Registry dates
- Enumerated
- 2025-03-15
- Last updated
- 2025-03-15
- Certified
- 2025-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.