Organization
BRIDGE OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA T. PULLIAM (DIRECTOR OF OPERATIONS/OWNER)
(502) 682-7811
Entity
Organization
Contact information
Practice address
1032 NORTHWOOD LOOP, LAWRENCEBURG, KY 40342
(502) 682-7811
Mailing address
1032 NORTHWOOD LOOP, LAWRENCEBURG, KY 40342
(502) 682-7811
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
09/10/2010
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