| NPI | 1831520261 |
|---|---|
| Other Name | BRIDGE SOUTHEAST |
| Doing Business As | BRIDGE SOUTHEAST |
| Entity Type | Organization |
| Authorized Contact | MARCELLA KLAUER Executive Assistant 773-572-5480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2022-07-14 |