Organization
KP ENTERPRISES, INC
Active
Other names
Revive and Thrive Treatment Centers
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CORBIN (EXECUTIVE ADMINISTRATOR)
(301) 732-6300
Entity
Organization
Contact information
Practice address
72 GREENE ST, CUMBERLAND, MD 21502-2933
(301) 682-2047
Mailing address
8435 PROGRESS DR STE EE, FREDERICK, MD 21701-4981
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
06/01/2025
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