Organization
BRIDGE DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY LEE WILLIAMS (OWNER)
(832) 655-8308
Entity
Organization
Contact information
Practice address
11902 MEADOWDALE DR, MEADOWS PLACE, TX 77477-1713
(832) 655-8308
Mailing address
14019 SOUTHWEST FWY # 419, SUGAR LAND, TX 77478-3563
(832) 655-8308
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/14/2021
Last updated
05/22/2024
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