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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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