Organization
A BRIDGE TO INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM JOHN BIBLE (CHIEF EXECUTIVE OFFICER)
(814) 874-3483
Entity
Organization
Contact information
Practice address
2028 FILMORE AVE, ERIE, PA 16506-2939
(814) 874-3483
(814) 651-9100
Mailing address
PO BOX 4307, WASHINGTON, PA 15301-1118
(814) 392-2490
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102704090
—
PA
Enumeration date
02/28/2019
Last updated
02/28/2019
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