Organization
BRIDGES COMMUNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY J LARSON (PRESIDENT)
(314) 781-7900
Entity
Organization
Contact information
Practice address
3155 SUTTON BLVD STE 201, MAPLEWOOD, MO 63143-3917
(314) 781-7900
(314) 781-7914
Mailing address
3155 SUTTON BLVD STE 201, MAPLEWOOD, MO 63143-3917
(314) 781-7900
(314) 781-7914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503292203
—
MO
Enumeration date
02/11/2008
Last updated
09/28/2022
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