Organization
BRIDGES TO GREATER GRACE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELLE LYRON BACHELORS (CEO)
(718) 924-7530
Entity
Organization
Contact information
Practice address
820 N 45TH ST UNIT 202, PHILADELPHIA, PA 19104-1377
(718) 924-7530
Mailing address
820 N 45TH ST UNIT 202, PHILADELPHIA, PA 19104-1377
(718) 924-7530
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
03/13/2017
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