VALLEY BRIDGE HOUSE, INC.; NPI #1467830612

Contact Information

VALLEY BRIDGE HOUSE, INC.

30 S BROADWAY
BALTIMORE, MD 21231

Phone: 410-675-7765
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for VALLEY BRIDGE HOUSE, INC.

NPI # 1467830612

LBN Legal business name VALLEY BRIDGE HOUSE, INC.

Authorized official BENJAMIN TONEY - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/08/2015

Last updated 08/23/2018 - About 8 years ago

Identifiers

License #

902165

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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