Organization
BRIDGE FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY SRAN (CLINICAL DIRECTOR)
(310) 365-5692
Entity
Organization
Contact information
Practice address
6080 CENTER DR STE 600, LOS ANGELES, CA 90045-1540
(310) 365-5692
Mailing address
6080 CENTER DR STE 600, LOS ANGELES, CA 90045-1540
(310) 365-5692
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BCBA 1-14-17370
CA
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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