Organization
BRIDGES PROFESSIOANL TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN KNUTSON CADAC (EXECUTIVE DIRECTOR)
(916) 747-7848
Entity
Organization
Contact information
Practice address
1422 28TH ST STE A, SACRAMENTO, CA 95816-6423
(916) 450-0700
(916) 450-0703
Mailing address
1422 28TH ST STE A, SACRAMENTO, CA 95816-6423
(916) 450-0700
(916) 450-0703
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
340041AN
CA
Other
Enumeration date
08/18/2007
Last updated
08/18/2007
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