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Organization

THRIVE YOUTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES GREAR (MANAGING MEMBER)
(612) 236-8604
Entity
Organization

Contact information

Practice address
8281 RED OAK DR, SAINT PAUL, MN 55112-6144
(612) 236-8604
Mailing address
8281 RED OAK DR, SAINT PAUL, MN 55112-6144

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
12/09/2018
Last updated
12/09/2018
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