| NPI | 1033888375 |
|---|---|
| Former Legal Business Name | BRIDGE TO RESTORATION THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | HASINA J BANKSTON Owner 616-885-2476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |