Bridge Healing Center Llc | |
22 Wilson Ave Ne Ste 109 Saint Cloud MN 56304-0440 | |
(612) 208-2077 | |
Not Available |
Full Name | Bridge Healing Center Llc |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 22 Wilson Ave Ne Ste 109, Saint Cloud, Minnesota |
Authorized Official Name and Position | Ali Aden (CEO) |
Authorized Official Contact | 6122082077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bridge Healing Center Llc 22 Wilson Ave Ne Ste 109 Saint Cloud MN 56304-0440 Ph: (612) 208-2077 | Bridge Healing Center Llc 22 Wilson Ave Ne Ste 109 Saint Cloud MN 56304-0440 Ph: (612) 208-2077 |
NPI Number | 1417609934 |
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Provider Enumeration Date | 01/25/2022 |
Last Update Date | 01/25/2022 |
Certification Date | 01/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417609934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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