Organization
BRIDGE HOUSE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELSE DOROTHEA PEDERSEN-WASSON MBA, LAC (EXECUTIVE DIRECTOR)
(504) 821-7122
Entity
Organization
Contact information
Practice address
4150 EARHART BLVD, NEW ORLEANS, LA 70125-1955
(504) 821-7122
(504) 827-8747
Mailing address
4150 EARHART BLVD, NEW ORLEANS, LA 70125-1955
(504) 821-7122
(504) 827-8747
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
057A
LA
324500000X
Substance Abuse Rehabilitation Facility
057B
LA
324500000X
Substance Abuse Rehabilitation Facility
Primary
057C
LA
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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