Organization
BRIDGE INC.
Active
Other names
The Bridge Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB MAYBERRY (REGISTERED AGENT/TREASURE)
(575) 365-6317
Entity
Organization
Contact information
Practice address
808 W GRAND AVE, ARTESIA, NM 88210-1937
(575) 365-6317
Mailing address
3302 W RICHEY AVE, ARTESIA, NM 88210-9448
(575) 365-6317
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982311890
NOEL OKASAKO CPSW CCSS
NM
Enumeration date
11/14/2023
Last updated
03/20/2026
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