Bridge Residential Llc | |
7011 S 30th Ln Phoenix AZ 85041-9313 | |
(602) 354-9252 | |
Not Available |
Full Name | Bridge Residential Llc |
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Speciality | Psychiatric Residential Treatment Facility |
Location | 7011 S 30th Ln, Phoenix, Arizona |
Authorized Official Name and Position | Wildine Burgess (EXEC ADMIN) |
Authorized Official Contact | 6023549252 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bridge Residential Llc Po Box 51382 Phoenix AZ 85076-1382 Ph: () - | Bridge Residential Llc 7011 S 30th Ln Phoenix AZ 85041-9313 Ph: (602) 354-9252 |
NPI Number | 1528822350 |
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Provider Enumeration Date | 02/12/2024 |
Last Update Date | 02/12/2024 |
Certification Date | 02/12/2024 |
Identifier | Type | State | Issuer |
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1528822350 | NPI | - | NPPES |
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