| NPI | 1902623069 |
|---|---|
| Doing Business As | THRIVE PLACE BEHAVIORAL |
| Entity Type | Organization |
| Authorized Contact | CLARA PONDECA Owner 602-880-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2025-03-26 |