Organization
BRIDGE TO SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARRI LEE WHITE LSW (CASE MANAGER/OWNER)
(207) 890-0715
Entity
Organization
Contact information
Practice address
20 PARIS ST STE 4, NORWAY, ME 04268-5654
(207) 744-9440
(207) 744-9441
Mailing address
20 PARIS ST STE 4, NORWAY, ME 04268-5654
(207) 744-9440
(207) 744-9441
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
435915000
MAINECARE PROVIDER ID NUMBER
ME
Enumeration date
08/25/2010
Last updated
08/25/2010
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