# BRIDGE COMMUNITY SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932795580
- **Authorized official:** MRS. COLETTA FRANCISCUS (CFO)
- **Authorized official phone:** (714) 458-3976

## Contact information

- **Practice address:** 964 E STETSON AVE, HEMET, CA 92543-8129
- **Practice address phone:** (323) 357-2512
- **Mailing address:** 1310 E CHAPMAN AVE \# 335, FULLERTON, CA 92831-3954
- **Mailing address phone:** (714) 458-3976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2020
- **Last updated:** 12/17/2020