Organization · NPI-2

Bridgeway Therapeutics INC

Clinic/Center, Adult Mental Health · Minneapolis, MN

NPI number1720680440
StatusActive
Last updated in NPPESNov 25, 2024

Details

NPI
1720680440
Entity type
Organization (NPI-2)
Legal business name
Bridgeway Therapeutics INC
Organization subpart
No
Enumeration date
Nov 9, 2020
Certification date
Nov 25, 2024
Last updated
Nov 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes
324500000X Substance Abuse Rehabilitation Facility––

Practice location

2610 E 32nd St Ste 1
Minneapolis, MN 55406-1905

Phone 612-361-7727 · Fax 612-454-2693

Mailing address

2610 E 32nd St Ste 1
Minneapolis, MN 55406-1905

Phone 612-361-7727 · Fax 612-454-2693

Other practice locations

6001 78th Ave N
Brooklyn Park, MN 55443-2909

Phone 612-361-7727

Authorized official

Fatma Abdille
Ceo
6123617727

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