| NPI | 1649804717 |
|---|---|
| Doing Business As | BRAVO HEALTH SERVICE, INC |
| Entity Type | Organization |
| Authorized Contact | NASIR A BARKHADLE Owner 612-295-2979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |