| Bridges To Success, Inc. | |
|
104 1/2 West Superior Street Duluth MN 55802 | |
| (218) 728-1189 | |
| (218) 722-2325 |
| Full Name | Bridges To Success, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 104 1/2 West Superior Street, Duluth, Minnesota |
| Authorized Official Name and Position | Maria Runyan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2187281189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges To Success, Inc. Po Box 16510 Duluth MN 55816 Ph: (218) 728-1189 | Bridges To Success, Inc. 104 1/2 West Superior Street Duluth MN 55802 Ph: (218) 728-1189 |
| NPI Number | 1487918199 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487918199 | NPI | - | NPPES |
| A660083100 | Other | MN | UMPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A660083100 (Minnesota) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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