Organization
INTERIM, INC.
Active
Other names
Bridge House
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MITCHELL (EXECUTIVE DIRECTOR)
(831) 649-4522
Entity
Organization
Contact information
Practice address
601 BAYONET CIR, MARINA, CA 93933-4600
(831) 649-4522
(831) 647-9136
Mailing address
604 PEARL ST, MONTEREY, CA 93940-3070
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
275200576
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2763
—
CA
Enumeration date
04/13/2007
Last updated
04/24/2018
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