NPI | 1518495779 |
---|---|
Former Legal Business Name | BRIDGES TO RECOVERY |
Entity Type | Organization |
Authorized Contact | KIMBERLY BROWN Co Owner 318-990-0168 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2023-06-23 |