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Organization

THRIVE AUTISM CENTER L.L.C.

Active
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Organization

THRIVE AUTISM CENTER L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMATALIS HAILLE (OWNER)
(320) 200-2334
Entity
Organization

Contact information

Practice address
110 DIVISION ST, WAITE PARK, MN 56387-1330
(320) 200-2334
Mailing address
110 DIVISION ST, WAITE PARK, MN 56387-1330

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
06/23/2023
Last updated
10/20/2023
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