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Organization

BRIDGES OUTREACH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL JOHN CALLAHAN DSW, MSW, LCSW (DIRECTOR)
(973) 310-7120
Entity
Organization

Contact information

Practice address
35 HALSEY ST, NEWARK, NJ 07102-3047
(973) 723-2307
Mailing address
PO BOX 1444, SUMMIT, NJ 07902-1444

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
171M00000X
Case Manager/Care Coordinator
174200000X
Meals Provider
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/13/2022
Last updated
01/13/2022
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