Organization
THE BRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MICHELLE SIMS LMHC (SERVICE COORDINATOR)
(212) 663-3000
Entity
Organization
Contact information
Practice address
248 W 108TH ST, NEW YORK, NY 10025-2956
(212) 663-3000
Mailing address
248 W 108TH ST, NEW YORK, NY 10025-2956
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
005500-1
NY
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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