institution
Bridge Back To Life Center
Substance Use Disorder Rehabilitation Clinic/Center in New York, New York
NPI 1629306055

Bridge Back To Life Center is a Substance Use Disorder Rehabilitation Clinic/Center based in New York, NY and is specialized in Rehabilitation, Substance Use Disorder. Bridge Back To Life Center practices in New York, NY. The NPI Number for Bridge Back To Life Center is 1629306055 and holds a License No. 5542 (New York).

The current practice location address for Bridge Back To Life Center is 500 8Th Ave Rm 906, New York, NY and can be reached out via phone at 212-679-4960.

Location: 500 8Th Ave Rm 906, New York, NY, 10018-4190
institution
Provider Profile Details
NPI Number
1629306055
Provider Name
Bridge Back To Life Center
Credential
Provider Entity Type
Organization
Address
500 8Th Ave Rm 906, New York, NY, 10018-4190
Phone Number
212-679-4960
Fax Number
Provider Enumeration Date
11/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5542 01 NY CASAC
institution
Provider Business Practice Location Address Details
Address
500 8Th Ave Rm 906
City
State
Zip
10018-4190
Phone Number
212-679-4960
Fax Number
person
Provider Business Mailing Address Details
Address
500 8Th Ave Rm 906
City
State
Zip
10018-4190
Phone Number
212-679-4960
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
5542 (New York)
Definition
Definition to come...
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