NPI: 1073171021
Provider Name: THRIVE INTEGRATIVE WELLNESS
Other Name: DIVINITY RECOVERY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
20301 VENTURA BLVD STE 121
WOODLAND HILLS, CA
ZIP 91364
Phone: (310) 490-9741
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THRIVE INTEGRATIVE WELLNESS is a rehabilitation and substance use disorder clinic center in Woodland Hills, CA. THRIVE INTEGRATIVE WELLNESS NPI is 1073171021. The provider is registered as an organization entity type.
The provider Other Name Is Divinity Recovery.
The provider's business location address is:
20301 VENTURA BLVD STE 121
WOODLAND HILLS, CA
ZIP 91364-447
Phone: (310) 490-9741
The provider's authorized official is Andrew Fossum .
The authorized official title is Coo and has the following contact phone number (310) 490-9741.
The enumeration date for this NPI number is 6/4/2019 and was last updated on 12/10/2020.