| NPI | 1326661836 |
|---|---|
| Other Name | BRIDGE CLINICS BEHAVIORAL HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | LATIFAT A. OYEKOLA Owner 317-495-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2021-03-08 |