NPI | 1588868814 |
---|---|
Doing Business As | BRIDGE CLINIC |
Entity Type | Organization |
Authorized Contact | LORELLE DWYER President & CEO 207-992-9200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2020-11-13 |