Organization
THRIVE MIDSHORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA WHITBY MD (OPERATIONS OFFICER)
(301) 404-7413
Entity
Organization
Contact information
Practice address
239 MAIN ST, PRESTON, MD 21655-2215
(443) 203-0103
(443) 203-0104
Mailing address
3666 MUDDY CREEK RD, OASIS FOUNDATION, EDGEWATER, MD 21037-3418
(443) 203-0103
(443) 203-0104
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
D17162
MD
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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