| Bright Place Llc | |
|
3835 Bakken Blvd Columbia Heights MN 55421-5056 | |
| (763) 746-6653 | |
| Not Available |
| Full Name | Bright Place Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3835 Bakken Blvd, Columbia Heights, Minnesota |
| Authorized Official Name and Position | Osman Ahmed (PRESIDENT) |
| Authorized Official Contact | 7637466653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Place Llc 3835 Bakken Blvd Columbia Heights MN 55421-5056 Ph: (763) 746-6653 | Bright Place Llc 3835 Bakken Blvd Columbia Heights MN 55421-5056 Ph: (763) 746-6653 |
| NPI Number | 1609499813 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609499813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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