Organization
BRIDGE RECOVERY & TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTINA MOORE PH.D., LPCC-S, LICDC (EXECUTIVE DIRECTOR)
(440) 346-5927
Entity
Organization
Contact information
Practice address
105 5TH ST SE, BARBERTON, OH 44203-4255
(440) 346-5927
Mailing address
126 WINDSOR CIR, AURORA, OH 44202-7339
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
05/19/2022
Last updated
06/30/2023
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