Organization
BRAVO HEALTH SERVICE, INC
Active
Other names
Bravo Health Service, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NASIR A BARKHADLE (OWNER)
(612) 295-2979
Entity
Organization
Contact information
Practice address
2104 PARK AVE, MINNEAPOLIS, MN 55404-6607
(612) 295-2979
Mailing address
2104 PARK AVE, MINNEAPOLIS, MN 55404-6607
(612) 295-2979
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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