Organization
BRIDGEWAY
Active
Organization
BRIDGEWAY
Active
Other names
Bridgeway LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN SHARIFF OSMAN (OWNER)
(507) 405-6608
Entity
Organization
Contact information
Practice address
1501 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2473
(507) 405-6608
Mailing address
1501 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2473
(507) 405-6608
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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