| Bridgeway Therapeutic Services Inc | |
|
1200 2nd Ave S Fl Ll Minneapolis MN 55403-2513 | |
| (612) 323-9492 | |
| (612) 314-8958 |
| Full Name | Bridgeway Therapeutic Services Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1200 2nd Ave S Fl Ll, Minneapolis, Minnesota |
| Authorized Official Name and Position | Adna Mustafa Abukar (PRESIDENT) |
| Authorized Official Contact | 6123239492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Therapeutic Services Inc 1200 2nd Ave S Fl Ll Minneapolis MN 55403-2513 Ph: (612) 323-9492 | Bridgeway Therapeutic Services Inc 1200 2nd Ave S Fl Ll Minneapolis MN 55403-2513 Ph: (612) 323-9492 |
| NPI Number | 1659098903 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659098903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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