NPI | 1245833045 |
---|---|
Former Legal Business Name | BUILDING BRIDGES OUTREACH LLC |
Entity Type | Organization |
Authorized Contact | TIFFANEY WILSON Owner 202-486-9837 |
Organization Subpart ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 251B00000X Case Management |
251S00000X | |
252Y00000X Early Intervention Provider Agency | |
253Z00000X In Home Supportive Care | |
385H00000X Respite Care | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
Enumeration Date | 2020-11-16 |
Last Update Date | 2021-02-10 |