| NPI | 1104036375 |
|---|---|
| Other Name | FOUR BRIDGES CREATIVE LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL STANTON WARD Senior Director Of Administration 510-219-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-09-09 |