NPI | 1306925847 |
---|---|
Doing Business As | BRIDGEHOUSE |
Entity Type | Organization |
Authorized Contact | LORI BLACKBURN Vice President 209-955-2322 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2006-11-03 |
Last Update Date | 2012-04-18 |