Organization
CARE BRIDGE LLC
Active
Organization
CARE BRIDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON KISAMBIRA (DIRECTOR)
(781) 309-8976
Entity
Organization
Contact information
Practice address
658 SW CEDAR ST, MILL CITY, OR 97360
(781) 309-8976
Mailing address
658 SW CEDAR ST, MILL CITY, OR 97360
(781) 309-8976
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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