| NPI | 1093428252 |
|---|---|
| Doing Business As | COMMUNITY BRIDGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LISA BAXTER Cf AO 860-443-2896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |