Organization · Type 2 NPI

The Bridge Autism Clinic LLC

Adolescent and Children Mental Health Clinic/Center · St. Paul, MN

NPI number 1568017374 Active

Practice location

690 Cleveland Ave South, Suite 100
St. Paul, MN 55116

Call (612) 216-4647 Map

Mailing address

690 Cleveland Ave S # 100
St. Paul, MN 55116-1319

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: 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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About NPI 1568017374

The Bridge Autism Clinic LLC's National Provider Identifier is 1568017374, issued on Aug 8, 2019. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in St. Paul, MN. The record was last updated on Dec 10, 2019.