Organization
THRIVE LGBT
Active
Other names
Thrive LGBT
Organization subpart
No
Provider details
NPI number
Authorized official
DRESEAN MATTHEWS (OWNER)
(866) 226-1031
Entity
Organization
Contact information
Practice address
568 EAST 101 TH ST, STE4, CLEVELAND, OH 44108
(866) 226-1031
Mailing address
568 EAST 101 TH ST, STE4, CLEVELAND, OH 44108
(866) 226-1031
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
OH
Enumeration date
04/15/2022
Last updated
05/06/2022
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