Provider Demographics
NPI:1346099173
Name:THRIVE PATH HOLDINGS
Entity type:Organization
Organization Name:THRIVE PATH HOLDINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:SAM
Authorized Official - Last Name:ALEXSANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-588-5803
Mailing Address - Street 1:1029 E BELMONT ABBEY LN
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-1464
Mailing Address - Country:US
Mailing Address - Phone:909-447-0892
Mailing Address - Fax:
Practice Address - Street 1:1029 E BELMONT ABBEY LN
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-1464
Practice Address - Country:US
Practice Address - Phone:909-447-0892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder