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Organization

BRIDGES GROUP HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL C MADUBUIKE (EXECUTIVE DIRECTOR)
(972) 940-5589
Entity
Organization

Contact information

Practice address
6551 MCKINNEY RANCH PKWY APT 5403, MCKINNEY, TX 75070-4629
(972) 940-5589
Mailing address
6551 MCKINNEY RANCH PKWY APT 5403, MCKINNEY, TX 75070-4629
(972) 940-5589

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
06/08/2021
Last updated
06/08/2021
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