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Organization
THRIVING CENTER OF PSYCHIATRY
Active
Organization
THRIVING CENTER OF PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS POLSTER PHD (CFO)
(908) 642-6701
Entity
Organization
Contact information
Practice address
3415 S SEPULVEDA BLVD STE 1100, LOS ANGELES, CA 90034-7090
(310) 955-1352
Mailing address
3415 S SEPULVEDA BLVD STE 1100, LOS ANGELES, CA 90034-7090
(310) 955-1352
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
05/02/2022
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