BRIDGE RESIDENTIAL LLC

Psychiatric Residential Treatment Facility · PHOENIX, AZ

Organization Active NPI 1528822350

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Psychiatric Residential Treatment Facility323P00000X
Addiction (Substance Use Disorder) Counselor101YA0400X
Mental Health Counselor101YM0800X
Psychologist103T00000X
Cognitive & Behavioral Psychologist103TB0200X
Group Psychotherapy Psychologist103TP2701X
Addiction (Substance Use Disorder) Registered Nurse163WA0400X
Psychiatry Physician2084P0800X
Substance Abuse Rehabilitation Facility324500000X
Non-emergency Medical Transport (VAN)343900000X
Psychiatric/Mental Health Nurse Practitioner363LP0808X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.