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Organization
THRIVE ADOLESCENT RECOVERY, LLC
Active
Organization
THRIVE ADOLESCENT RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIEKE PURCELL KRAMER LPC008000 (CHIEF EXECUTIVE OFFICER)
(912) 433-7829
Entity
Organization
Contact information
Practice address
127 ABERCORN ST STE 403, SAVANNAH, GA 31401-4069
Mailing address
127 ABERCORN ST STE 403, SAVANNAH, GA 31401-4069
(912) 433-7829
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
008000
GA
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
09/05/2017
Last updated
03/17/2018
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