Organization
THRIVE BEHAVIORAL NETWORK IV, LLC
Active
Other names
New Visions Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BRADLEY (PRESIDENT)
(612) 385-7857
Entity
Organization
Contact information
Practice address
712 ATLANTIC AVE STE 3, MORRIS, MN 56267-1180
(320) 585-6180
(320) 585-6182
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
—
—
Other
Enumeration date
09/24/2007
Last updated
03/30/2017
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