Thrive Behavioral Network III, LLC
Community Based Residential Treatment Facility, Mental Illness in Moorhead, MN. Organization (NPI-2).
NPI number1073739496
StatusActive
Last updated in NPPESNov 8, 2022
Details
- NPI
- 1073739496
- Entity type
- Organization (NPI-2)
- Legal business name
- Thrive Behavioral Network III, LLC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2007
- Certification date
- Nov 8, 2022
- Last updated
- Nov 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 810338-2-RMI | MN | Yes |
Other names
- Gull Harbour (Doing Business As)
Practice location
1704 Belsly BlvdMoorhead, MN 56560-5274
Phone 218-233-8068 · Fax 218-287-0581
Mailing address
2700 1st St N Ste 300Saint Cloud, MN 56303-4587
Phone 320-255-9530 · Fax 320-251-2996
Authorized official
Jeff Bradley
President
6123857857
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community Based Residential Treatment Facility, Mental Illness providers in Moorhead, MN
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.