Organization
THE BRIDGE COMMUNITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND P FREEMAN (EXECUTIVE DIRECTOR)
(303) 934-1999
Entity
Organization
Contact information
Practice address
3101 W HILLSIDE PL, DENVER, CO 80219-5821
(303) 935-4740
(303) 935-7795
Mailing address
3101 W HILLSIDE PL, DENVER, CO 80219-5821
(303) 935-4740
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000143584
—
CO
Enumeration date
09/05/2018
Last updated
09/05/2018
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