Organization
BRIDGEWAY THERAPEUTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADNA MUSTAFA ABUKAR (PRESIDENT)
(612) 323-9492
Entity
Organization
Contact information
Practice address
1200 2ND AVE S FL LL, MINNEAPOLIS, MN 55403-2513
(612) 323-9492
(612) 314-8958
Mailing address
1200 2ND AVE S FL LL, MINNEAPOLIS, MN 55403-2513
(612) 323-9492
(612) 314-8958
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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