Organization · NPI-2
Thrive Behavioral Network III, LLC
Community Based Residential Treatment Facility, Mental Illness · Moorhead, MN
NPI number1548896277
StatusActive
Last updated in NPPESNov 8, 2022
Details
- NPI
- 1548896277
- Entity type
- Organization (NPI-2)
- Legal business name
- Thrive Behavioral Network III, LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 13, 2020
- 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 | – | – | Yes |
Other names
- Gull Harbour Crisis (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
Jeffrey Bradley
President
6123857857
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