| NPI | 1700593027 |
|---|---|
| Doing Business As | A BRIDGE FOR MY BROTHER |
| Entity Type | Organization |
| Authorized Contact | JAMES ALBERT WILLIAMSON Owner/Provider 469-810-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |