Organization
THRIVE BEHAVIOR HEALTH AND COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILDINE BURGESS (PROGRAM DIRECTOR)
(240) 350-2863
Entity
Organization
Contact information
Practice address
9779 GOOD LUCK RD APT 5, LANHAM, MD 20706-3338
(240) 350-2863
Mailing address
9779 GOOD LUCK RD APT 5, LANHAM, MD 20706-3338
(240) 350-2863
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/15/2020
Last updated
09/28/2020
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