Organization
AV BRIDGES MENTAL HEALTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT ESTACIO (RN/CEO)
(661) 310-3110
Entity
Organization
Contact information
Practice address
1331 W. AVE J, UNIT 101A, LANCASTER, CA 93534
(661) 310-3110
(661) 310-3112
Mailing address
1331 W. AVE J, UNIT 101A, LANCASTER, CA 93534
(661) 310-3110
(661) 310-3112
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/24/2023
Last updated
05/13/2024
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