Organization
BRIDGE OF HOPE FAMILY SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASSIDY RICE (CHIEF EXECUTIVE OFFICER)
(419) 340-5137
Entity
Organization
Contact information
Practice address
29308 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-2601
(419) 340-5137
Mailing address
29308 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-2601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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