NPI | 1366806358 |
---|---|
Doing Business As | THE BRIDGE INTO WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | MARISA TERRY Owner 716-456-1225 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Enumeration Date | 2016-04-06 |
Last Update Date | 2016-04-06 |