# THRIVE ST. LOUIS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871112102
- **Authorized official:** MATTHEW TOTRA (OPERATIONS MANAGER)
- **Authorized official phone:** (314) 783-3040

## Contact information

- **Practice address:** 4331 LINDELL BLVD, SAINT LOUIS, MO 63108-2701
- **Practice address phone:** (314) 783-3040
- **Practice address fax:** (314) 783-3043
- **Mailing address:** 4331 LINDELL BLVD, SAINT LOUIS, MO 63108-2701
- **Mailing address fax:** (314) 783-3043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2020
- **Last updated:** 04/16/2020