| NPI | 1801405584 |
|---|---|
| Doing Business As | EOSIS BRIDGE |
| Entity Type | Organization |
| Authorized Contact | LEWIS P ZEIDNER CEO 763-745-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2025-02-21 |