| NPI | 1205277407 |
|---|---|
| Other Name | CAMILLA BRIDGEMAN |
| Entity Type | Organization |
| Authorized Contact | CAMILLA LEE BRIDGEMAN Owner 727-906-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL 6906590) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |