| NPI | 1043982259 |
|---|---|
| Doing Business As | THRIVE WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRANDY L OTO Owner 253-334-6950 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2022-04-13 |