| NPI | 1083293948 |
|---|---|
| Other Name | BRIDGE HOME |
| Entity Type | Organization |
| Authorized Contact | MITESH G POPAT Chief Executive Officer 310-664-7901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2023-09-11 |