NPI | 1447406715 |
---|---|
Other Name | BRIDGE SOUTH |
Doing Business As | BRIDGE SOUTH |
Entity Type | Organization |
Authorized Contact | MARCELLA KLAUER Executive Assistant 773-572-5480 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2022-07-14 |