NPI | 1669992053 |
---|---|
Other Name | THE BRIDGE WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | KEYNEICA JONES Executive Director 951-214-3675 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 336426008) |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center Adult Mental Health | |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 336426008) | |
Enumeration Date | 2017-06-26 |
Last Update Date | 2024-04-30 |