NPI | 1669230108 |
---|---|
Doing Business As | THRIVE |
Entity Type | Organization |
Authorized Contact | NATHANIEL RAINE Owner 818-301-9022 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2024-03-11 |
Last Update Date | 2024-10-16 |