| 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 Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2013-12-11 | 
| Last Update Date | 2022-07-14 |