| NPI | 1144650789 |
|---|---|
| Doing Business As | BRIDGES OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | CHRISTY KNUTSON Executive Director 916-203-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 340041CN) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |