Organization
THRIVE RESTORATIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELISSA COOPER LMSW (OWNER)
(913) 486-5152
Entity
Organization
Contact information
Practice address
1911 NORTH 62ND STREET, KANSAS CITY, KS 66102
(913) 303-7416
Mailing address
12641 ANTIOCH RD STE 1089, OVERLAND PARK, KS 66213-1701
(913) 303-7416
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
10/01/2020
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