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Bridge To Life Llc
Substance Abuse Rehabilitation Facility in Baltimore, Maryland
NPI 1235701046

Bridge To Life Llc is a Substance Abuse Rehabilitation Facility based in Baltimore, MD. Bridge To Life Llc practices in Baltimore, MD. The NPI Number for Bridge To Life Llc is 1235701046 and holds a License No. (Maryland).

The current practice location address for Bridge To Life Llc is 36 E 25Th St Fl 2, Baltimore, MD and can be reached out via phone at 410-419-4975.

Location: 36 E 25Th St Fl 2, Baltimore, MD, 21218-5476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235701046
Provider Name
Bridge To Life Llc
Credential
Provider Entity Type
Organization
Address
36 E 25Th St Fl 2, Baltimore, MD, 21218-5476
Phone Number
410-419-4975
Fax Number
Provider Enumeration Date
07/12/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
36 E 25Th St Fl 2
City
Baltimore
State
Maryland
Zip
21218-5476
Phone Number
410-419-4975
Fax Number
person
Provider Business Mailing Address Details
Address
36 E 25Th St Fl 2
City
Baltimore
State
Maryland
Zip
21218-5476
Phone Number
410-419-4975
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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