| The Bridge For Youth | |
|
1111 W 22nd St Minneapolis MN 55405-2705 | |
| (612) 377-8800 | |
| (612) 377-6426 |
| Full Name | The Bridge For Youth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1111 W 22nd St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Todd Jeffers (FINANCE/OPERATIONS DIRECTOR) |
| Authorized Official Contact | 6122306692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bridge For Youth 1111 W 22nd St Minneapolis MN 55405-2705 Ph: (612) 377-8800 | The Bridge For Youth 1111 W 22nd St Minneapolis MN 55405-2705 Ph: (612) 377-8800 |
| NPI Number | 1649411745 |
|---|---|
| Provider Enumeration Date | 03/19/2009 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649411745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 802480-4-CRF (Minnesota) | Primary |
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