Organization
REVIVE AND THRIVE MENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CORBIN (DIRECTOR OF FINANCE)
(301) 732-6300
Entity
Organization
Contact information
Practice address
8435 PROGRESS DR STE FF, FREDERICK, MD 21701-4981
(301) 682-2047
(301) 644-3308
Mailing address
8435 PROGRESS DR STE FF, FREDERICK, MD 21701-4981
(301) 682-2047
(301) 644-3308
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
03/25/2024
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