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Organization
THE BRIDGE MARRIAGE & FAMILY THERAPY
Active
Organization
THE BRIDGE MARRIAGE & FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE MICHELE MACK-HARRIS (CEO/OWNER)
(951) 805-3467
Entity
Organization
Contact information
Practice address
431 W LAMBERT RD, BREA, CA 92821-3918
(951) 805-3467
Mailing address
19917 CRESTWOOD DR, LAKE ELSINORE, CA 92530-0400
(951) 805-3467
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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