Organization
BRIDGES TO RECOVERY II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERIK VILHELM SCHULIN (ADMINISTRATOR)
(310) 459-0613
Entity
Organization
Contact information
Practice address
1820 SAN VICENTE BLVD, SANTA MONICA, CA 90402-2309
(310) 459-0613
(310) 573-7092
Mailing address
1460 SAN REMO DR, PACIFIC PALISADES, CA 90272-2737
(310) 459-0613
(310) 573-7092
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
196601269
CA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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