institution
Bridge Back To Life, Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Staten Island, New York
NPI 1811228687

Bridge Back To Life, Inc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Staten Island, NY and is specialized in Rehabilitation, Substance Use Disorder. Bridge Back To Life, Inc. practices in Staten Island, NY. The NPI Number for Bridge Back To Life, Inc. is 1811228687 and holds a License No. 080531 (New York).

The current practice location address for Bridge Back To Life, Inc. is 1688 Victory Blvd, Staten Island, NY and can be reached out via phone at 718-447-5700.

Location: 1688 Victory Blvd, Staten Island, NY, 10314-3533
institution
Provider Profile Details
NPI Number
1811228687
Provider Name
Bridge Back To Life, Inc.
Credential
Provider Entity Type
Organization
Address
1688 Victory Blvd, Staten Island, NY, 10314-3533
Phone Number
718-447-5700
Fax Number
Provider Enumeration Date
01/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080531 01 NY KATHRYN MARIE RYAN
institution
Provider Business Practice Location Address Details
Address
1688 Victory Blvd
City
State
Zip
10314-3533
Phone Number
718-447-5700
Fax Number
person
Provider Business Mailing Address Details
Address
1688 Victory Blvd
City
State
Zip
10314-3533
Phone Number
718-447-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
080531 (New York)
Definition
Definition to come...
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