Organization
BRIDGEWAY THERAPEUTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATMA ABDILLE (CEO)
(612) 361-7727
Entity
Organization
Contact information
Practice address
2610 E 32ND ST STE 1, MINNEAPOLIS, MN 55406-1905
(612) 361-7727
(612) 454-2693
Mailing address
2610 E 32ND ST STE 1, MINNEAPOLIS, MN 55406-1905
(612) 361-7727
(612) 454-2693
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/09/2020
Last updated
11/25/2024
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