| NPI | 1881422186 |
|---|---|
| Other Name | BRIDGES ACED RAW PEER SUPPORT CLUB |
| Entity Type | Organization |
| Authorized Contact | CARLNELL FRAZIER President 929-345-5213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-03-25 |