THRIVE BEHAVIORAL NETWORK III LLC NPI 1073739496

NPI Information

NPI: 1073739496
Provider Name: THRIVE BEHAVIORAL NETWORK III, LLC

Doing Business As: GULL HARBOUR

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1704 BELSLY BLVD
MOORHEAD, MN
ZIP 56560
Phone: (218) 233-8068
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THRIVE BEHAVIORAL NETWORK III, LLC is a community based residential treatment facility mental illness in Moorhead, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THRIVE BEHAVIORAL NETWORK III, LLC NPI is 1073739496. The provider is registered as an organization entity type.
The provider Is Doing Business As Gull Harbour.

The provider's business location address is:

1704 BELSLY BLVD
MOORHEAD, MN
ZIP 56560-274
Phone: (218) 233-8068
Fax: (218) 287-0581

The provider's authorized official is Jeff Bradley .
The authorized official title is President and has the following contact phone number (612) 385-7857.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 11/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		810338-2-RMI	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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