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Organization
BRIDGE OF HOPE FAMILY SUPPORT LLC
Active
Organization
BRIDGE OF HOPE FAMILY SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASSIDY RICE (CHIEF EXECUTIVE OFFICER)
(419) 340-5137
Entity
Organization
Contact information
Practice address
29308 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-2601
(419) 340-5137
Mailing address
29308 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-2601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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