| NPI | 1972043818 |
|---|---|
| Doing Business As | BRIDGES ON ELM |
| Entity Type | Organization |
| Authorized Contact | JULIA S TUCKER WOOD Lmft 860-575-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CT 001034) |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2017-02-26 |