Organization
WE THRIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHILDE MICOMYIZA (CEO)
(347) 828-1706
Entity
Organization
Contact information
Practice address
184 PEARL ST APT 403, PORTLAND, ME 04101-3491
(347) 828-1706
Mailing address
184 PEARL ST APT 403, PORTLAND, ME 04101-3491
(347) 828-1706
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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