Organization
BRIDGES COMMUNITY SUPPORT SERVICES, INC
Active
Parent organization
BRIDGES COMMUNITY SUPPORT SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIDGES COMMUNITY SUPPORT SERVICES, INC
Authorized official
OMUSI RANGER (CEO)
(407) 745-5022
Entity
Organization
Contact information
Practice address
5222 ANDRUS AVE STE C, ORLANDO, FL 32810-5456
(407) 745-5022
(407) 601-4302
Mailing address
5222 ANDRUS AVE STE C, ORLANDO, FL 32810-5456
(407) 745-5022
(407) 601-4302
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0106165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010616500
—
FL
05
—
013945100
—
FL
Enumeration date
09/18/2014
Last updated
06/11/2019
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