Organization
BRIDGE HOUSE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELSE PEDERSEN WASSON (CEO)
(504) 821-7122
Entity
Organization
Contact information
Practice address
4150 EARHART BLVD, NEW ORLEANS, LA 70125-1955
(504) 821-7122
Mailing address
4150 EARHART BLVD, NEW ORLEANS, LA 70125-1955
(504) 821-7122
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
057
LA
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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