Organization
BRIDGE TO WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMEDNUR ALI (ADMINISTRATOR)
(612) 460-5056
Entity
Organization
Contact information
Practice address
5505 W 123RD ST STE 2000, SAVAGE, MN 55378-5505
(612) 460-5056
Mailing address
2532 59TH ST NW, ROCHESTER, MN 55901-8745
(507) 358-5276
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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