Organization
FAMILY THRIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAD HATAMI (OWNER)
(219) 808-0296
Entity
Organization
Contact information
Practice address
260 E 90TH DR, MERRILLVILLE, IN 46410-8102
(219) 808-0296
Mailing address
10629 ERIE DR, CROWN POINT, IN 46307-9488
(219) 808-0296
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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