Organization
BRIDGE OF HOPE CENTER
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
SUSSAN FUNG (PSYCHOTHERAPY)
(702) 773-8673
Entity
Organization
Contact information
Practice address
38 BAYONNE AVE, WARWICK, RI 02889-8753
(401) 548-9716
Mailing address
38 BAYONNE AVE, WARWICK, RI 02889-8753
(401) 548-9716
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/15/2024
Last updated
02/26/2024
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