Organization
THRIVE ST. LOUIS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOTRA (OPERATIONS MANAGER)
(314) 783-3040
Entity
Organization
Contact information
Practice address
4331 LINDELL BLVD, SAINT LOUIS, MO 63108-2701
(314) 783-3040
(314) 783-3043
Mailing address
4331 LINDELL BLVD, SAINT LOUIS, MO 63108-2701
(314) 783-3043
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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