| NPI | 1942988852 |
|---|---|
| Other Name | 49TH BRIDGE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | THERESA M RONCO Manager 907-748-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |