Organization
BRIDGEMARK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE T HARKINS MA, CCJP (EXECUTIVE DIRECTOR)
(401) 781-2700
Entity
Organization
Contact information
Practice address
2020 ELMWOOD AVE, WARWICK, RI 02888-2404
(401) 781-2700
Mailing address
2020 ELMWOOD AVE, WARWICK, RI 02888-2404
(401) 781-2700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KH8120
—
RI
Enumeration date
11/09/2006
Last updated
11/13/2012
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