NPI | 1477229185 |
---|---|
Former Legal Business Name | BRIDGING THERAPY L.L.C |
Entity Type | Organization |
Authorized Contact | EVA-MAE S EMMERICH Owner 612-568-0868 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-08-22 |
Last Update Date | 2021-08-22 |