Organization
BRIDGE SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASSUMANI RASHINDI (PROGRAM MANAGER)
(207) 747-7984
Entity
Organization
Contact information
Practice address
264 COUNTY RD, GORHAM, ME 04038-1913
(207) 747-7984
Mailing address
PO BOX 10272, PORTLAND, ME 04104-0272
(207) 747-7984
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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