| Bridge To Life Llc | |
|
36 E 25th St Fl 2 Baltimore MD 21218-5476 | |
| (410) 419-4975 | |
| Not Available |
| Full Name | Bridge To Life Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 36 E 25th St Fl 2, Baltimore, Maryland |
| Authorized Official Name and Position | Kelvin Bridgers (CEO) |
| Authorized Official Contact | 4104194975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge To Life Llc 36 E 25th St Fl 2 Baltimore MD 21218-5476 Ph: (410) 419-4975 | Bridge To Life Llc 36 E 25th St Fl 2 Baltimore MD 21218-5476 Ph: (410) 419-4975 |
| NPI Number | 1235701046 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235701046 | NPI | - | NPPES |
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