Organization
THE BRIDGE HEALTH CLINICS & RESEARCH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD C. CAMPBELL PHD (PRESIDENT / CEO)
(414) 831-4500
Entity
Organization
Contact information
Practice address
600 W WALNUT ST, SUITE 33-R, MILWAUKEE, WI 53212-3863
(414) 831-4500
(414) 255-3451
Mailing address
2200 N MAYFAIR RD, SUITE 200, WAUWATOSA, WI 53226-2252
(414) 258-9511
(414) 607-3946
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100011207
—
WI
Enumeration date
05/12/2010
Last updated
01/07/2015
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