NPI | 1366250102 |
---|---|
Doing Business As | REVIVE & THRIVE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | GLORIA CORBIN Executive Administrator 301-732-6300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-12-26 |
Last Update Date | 2025-01-07 |