Organization
THRIVE BEHAVIORAL NETWORK IV, LLC
Active
Organization
THRIVE BEHAVIORAL NETWORK IV, LLC
Active
Other names
Transformative Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY JOHN BRADLEY (PRESIDENT)
(612) 385-7857
Entity
Organization
Contact information
Practice address
119 FRIBERG AVE, SUITE B, FERGUS FALLS, MN 56537-2251
(218) 531-1528
(218) 531-1586
Mailing address
107 DOCTORS PARK, SAINT CLOUD, MN 56303-1207
(320) 255-9530
(320) 251-2996
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1093571
MN
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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