KP ENTERPRISES INC NPI 1366250102

NPI Information

  • NPI: 1366250102
  • Provider Name: KP ENTERPRISES, INC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: REVIVE & THRIVE TREATMENT CENTER
  • Address: 72 GREENE ST
    CUMBERLAND, MD
    ZIP 21502
  • Phone: (301) 682-2041

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NPI Details

KP ENTERPRISES, INC is a rehabilitation and substance use disorder clinic center in Cumberland, MD. KP ENTERPRISES, INC NPI is 1366250102. The provider is registered as an organization entity type.
The provider Is Doing Business As Revive & Thrive Treatment Center.

The provider's business location address is:

72 GREENE ST
CUMBERLAND, MD
ZIP 21502-933
Phone: (301) 682-2041

The provider's authorized official is Gloria Corbin .
The authorized official title is Executive Administrator and has the following contact phone number (301) 732-6300.

The enumeration date for this NPI number is 12/26/2024 and was last updated on 1/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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