Organization
THRIVE BEHAVIORAL NETWORK IV, LLC
Active
Other names
New Visions Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BRADLEY (PRESIDENT)
(320) 763-3912
Entity
Organization
Contact information
Practice address
222 9TH AVE WEST, ALEXANDRIA, MN 56308-2204
(320) 763-3912
(320) 763-6629
Mailing address
107 DOCTORS PARK, ST CLOUD, MN 56303-1207
(320) 255-9530
(320) 251-2996
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1036409
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674407901
—
MN
Enumeration date
11/02/2006
Last updated
03/31/2017
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