Organization
BRIDGE 2 HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAYSHAWN T EBERHARDT (DIRECTOR OF OPERATIONS)
(216) 647-2676
Entity
Organization
Contact information
Practice address
7231 FORESTWOOD DR, INDEPENDENCE, OH 44131-5261
(216) 647-2676
Mailing address
5229 W 33RD ST, PARMA, OH 44134-1217
(216) 647-2676
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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