Organization
THRIVEWELL SANCTUARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATEVIK POGHOSYAN (CEO)
(415) 531-7783
Entity
Organization
Contact information
Practice address
16023 BRYANT ST, NORTH HILLS, CA 91343-5720
(415) 531-7783
Mailing address
16023 BRYANT ST, NORTH HILLS, CA 91343-5720
(415) 531-7783
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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