Organization
THRIVE RESIDENTIAL FACILITY LLC
Active
Organization
THRIVE RESIDENTIAL FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHSEEN GILL (OWNER)
(215) 960-6390
Entity
Organization
Contact information
Practice address
12717 SE LINCOLN ST, PORTLAND, OR 97233-1372
(215) 960-6390
Mailing address
12717 SE LINCOLN ST, PORTLAND, OR 97233-1372
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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