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1992678429 NPI number — THRIVE RECOVERY

NPI Number: 1992678429
Health Care Provider/Practitioner: THRIVE RECOVERY

Information about “1992678429” NPI (THRIVE RECOVERY) exists in 1992678429 in HTML format HTML  |  1992678429 in plain Text format TXT  |  1992678429 in PDF (Portable Document Format) PDF  |  1992678429 in an XML format XML  formats.

NPI Number : 1992678429 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992678429",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THRIVE RECOVERY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3896 W 10385 S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTH JORDAN",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84009-8731",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3896 W 10385 S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTH JORDAN",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84009-8731",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-934-7722",
    "PracticeLocationAddressFaxNumber": "855-550-0944",
    "EnumerationDate": "09/29/2025",
    "LastUpdateDate": "09/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOLTKAMP",
    "AuthorizedOfficialFirstName": "ZACHARY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "248-934-7722",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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