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Organization

BRIDGE BEHAVIORAL SERVICES CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BIANCA M GONZALEZ (ADMINISTRATOR)
(786) 953-5120
Entity
Organization

Contact information

Practice address
5979 NW 151ST ST STE 102I, MIAMI LAKES, FL 33014
(786) 953-5120
Mailing address
5979 NW 151ST ST STE 102I, MIAMI LAKES, FL 33014-2434
(786) 953-5120

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
12/20/2017
Last updated
04/04/2019
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