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The Bridge Autism Clinic Llc
Adolescent and Children Mental Health Clinic/Center in St Paul, Minnesota
NPI 1568017374

The Bridge Autism Clinic Llc is an Adolescent and Children Mental Health Clinic/Center based in Saint Paul, MN and is specialized in Adolescent and Children Mental Health. The Bridge Autism Clinic Llc practices in St Paul, MN. The NPI Number for The Bridge Autism Clinic Llc is 1568017374 and holds a License No. (Minnesota).

The current practice location address for The Bridge Autism Clinic Llc is 690 Cleveland Ave South, St Paul, MN and can be reached out via phone at 612-216-4647.

Location: 690 Cleveland Ave South, St Paul, MN, 55116-1319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568017374
Provider Name
The Bridge Autism Clinic Llc
Credential
Provider Entity Type
Organization
Address
690 Cleveland Ave South, St Paul, MN, 55116-1319
Phone Number
612-216-4647
Fax Number
Provider Enumeration Date
08/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
690 Cleveland Ave South
City
St Paul
State
Minnesota
Zip
55116
Phone Number
612-216-4647
Fax Number
person
Provider Business Mailing Address Details
Address
690 Cleveland Ave South
City
St Paul
State
Minnesota
Zip
55116
Phone Number
612-216-4647
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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