Organization
BRIDGE HOUSE CORPORATION
Active
Parent organization
BRIDGE HOUSE CORPORATION
Other names
Grace House
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIDGE HOUSE CORPORATION
Authorized official
MRS. ELSE PEDERSEN WASSON MBA (CEO)
(504) 821-7123
Entity
Organization
Contact information
Practice address
6311 STRATFORD PL, BLDG. D, NEW ORLEANS, LA 70131-7325
(504) 522-4475
(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
Primary
057-C
LA
Other
Enumeration date
02/01/2012
Last updated
06/14/2019
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