Organization
WE THRIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MATHILDE MICOMYIZA SR. (CEO)
(347) 828-1706
Entity
Organization
Contact information
Practice address
184 PEARL ST APT 2, PORTLAND, ME 04101-3059
(347) 828-1706
Mailing address
184 PEARL ST APT 2, PORTLAND, ME 04101-3059
(347) 828-1706
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
01/12/2024
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