Organization
EMPOWER BRIDGE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOOLI MOALIN (DIRECTOR)
(952) 201-8652
Entity
Organization
Contact information
Practice address
1330 LAGOON AVE FL 4, MINNEAPOLIS, MN 55408-2885
(952) 201-8652
Mailing address
1330 LAGOON AVE FL 4, MINNEAPOLIS, MN 55408-2885
(952) 201-8652
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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