Organization · NPI-2

Thrive Lgbt

Community/Behavioral Health · Cleveland, OH

NPI number1912640129
StatusActive
Last updated in NPPESMay 6, 2022

Details

NPI
1912640129
Entity type
Organization (NPI-2)
Legal business name
Thrive Lgbt
Organization subpart
No
Enumeration date
Apr 15, 2022
Certification date
May 6, 2022
Last updated
May 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
174200000X Meals––
177F00000X Lodging––
251B00000X Case Management––
253J00000X Foster Care Agency––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
261QM0850X Clinic/Center, Adult Mental Health––
3336M0002X Pharmacy, Mail Order Pharmacy––

Other names

  • Thrive Lgbt (Doing Business As)

Practice location

568 East 101 Th St, Ste4
Cleveland, OH 44108

Phone 866-226-1031

Mailing address

568 East 101 Th St, Ste4
Cleveland, OH 44108

Phone 866-226-1031

Authorized official

Dresean Matthews
Owner
8662261031

Is something wrong?

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