| Bridge Community Health Clinic Mental Health Services | |
|
1810 2nd St Wausau WI 54403-3492 | |
| (715) 848-4884 | |
| (715) 845-5385 |
| Full Name | Bridge Community Health Clinic Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1810 2nd St, Wausau, Wisconsin |
| Authorized Official Name and Position | Laura Scudiere (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7158484884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Community Health Clinic Mental Health Services 1810 2nd St Wausau WI 54403-3492 Ph: (715) 848-4884 | Bridge Community Health Clinic Mental Health Services 1810 2nd St Wausau WI 54403-3492 Ph: (715) 848-4884 |
| NPI Number | 1285864389 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 07/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285864389 | NPI | - | NPPES |
| PENDING | Medicaid | WI | |
| PENDING | Other | WI | OUTPATIENT MENTAL HEALTH CLINIC CERTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PENDING (Wisconsin) | Primary |
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