| Bridgeway Recovery Llc | |
|
501 Gateway Blvd Apt 115 Burnsville MN 55337-2517 | |
| (612) 293-0055 | |
| Not Available |
| Full Name | Bridgeway Recovery Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 501 Gateway Blvd Apt 115, Burnsville, Minnesota |
| Authorized Official Name and Position | Sirah Ali (CEO) |
| Authorized Official Contact | 6122930055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Recovery Llc 501 Gateway Blvd Apt 115 Burnsville MN 55337-2517 Ph: (612) 293-0055 | Bridgeway Recovery Llc 501 Gateway Blvd Apt 115 Burnsville MN 55337-2517 Ph: (612) 293-0055 |
| NPI Number | 1720849573 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720849573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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