Provider Demographics
NPI:1598441982
Name:ADVOCATES FOR THRIVING COMMUNITIES
Entity Type:Organization
Organization Name:ADVOCATES FOR THRIVING COMMUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAHRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODOWA
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:952-687-0088
Mailing Address - Street 1:8170 OLD CARRIAGE CT STE 243
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-3163
Mailing Address - Country:US
Mailing Address - Phone:952-687-0088
Mailing Address - Fax:
Practice Address - Street 1:8170 OLD CARRIAGE CT STE 243
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-3163
Practice Address - Country:US
Practice Address - Phone:952-687-0088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable