Provider Demographics
NPI:1619403201
Name:WE THRIVE ORGANIZATION
Entity Type:Organization
Organization Name:WE THRIVE ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ATHENA
Authorized Official - Middle Name:MOSS
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-703-6053
Mailing Address - Street 1:2025 AVENUE G
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-2537
Mailing Address - Country:US
Mailing Address - Phone:281-679-1309
Mailing Address - Fax:281-633-8014
Practice Address - Street 1:2025 AVENUE G
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2537
Practice Address - Country:US
Practice Address - Phone:281-679-1309
Practice Address - Fax:281-633-8014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities