Organization
FIRM BRIDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA PRILLE RONALD MAKUNDI (PROGRAM MANAGER)
(239) 770-1897
Entity
Organization
Contact information
Practice address
6053 HUDSON RD, STE 280, WOODBURY, MN 55125
(239) 770-1897
Mailing address
6053 HUDSON RD, STE 280, WOODBURY, MN 55125
(239) 770-1897
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/04/2025
Last updated
02/25/2025
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