Organization
THRIVE THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHAD MOHAMED (OWNER)
(612) 438-9204
Entity
Organization
Contact information
Practice address
3733 FOX TAIL TRL NW, PRIOR LAKE, MN 55372-1698
(507) 350-2120
Mailing address
3733 FOX TAIL TRL NW, PRIOR LAKE, MN 55372-1698
(507) 350-2120
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
01/09/2024
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