| NPI | 1467836858 |
|---|---|
| Doing Business As | BRIDGES MENS RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | TIANNA ROYE Deputy Director 916-583-2969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |