Organization
KP ENTERPRISES, INC
Active
Other names
Revive & Thrive Treatment Center
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) 682-2041
Mailing address
8435 PROGRESS DR STE FF, FREDERICK, MD 21701-4981
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
01/07/2025
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