Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Counselor |
101Y00000X | |||
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1255716031 |
| LBN Legal business name | BRIDGE-POINT, LLC |
| Authorized official | RONALD WHITTINGTON - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/22/2015 |
| Last updated | 03/06/2017 - About 9 years ago |
| Identifiers | n/a |
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