| Bridge Back To Life Center.inc | |
|
500 8th Ave Suite 906 New York NY 10018-6504 | |
| (212) 679-4960 | |
| (212) 679-5444 |
| Full Name | Bridge Back To Life Center.inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 8th Ave, New York, New York |
| Authorized Official Name and Position | Inger Latronda Ford (CLINICAL SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Contact | 3477319159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Back To Life Center.inc 500 8th Ave Suite 906 New York NY 10018-6504 Ph: (212) 679-4960 | Bridge Back To Life Center.inc 500 8th Ave Suite 906 New York NY 10018-6504 Ph: (212) 679-4960 |
| NPI Number | 1467811059 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 02/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467811059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 30303 (New York) | Primary |
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