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Organization

BRIDGE TO SUCCESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRENDA BARELA (CEO)
(505) 389-9326
Entity
Organization

Contact information

Practice address
5308 COAL AVE SE UNIT A, ALBUQUERQUE, NM 87108-2907
(505) 356-0022
(505) 404-8720
Mailing address
PO BOX 25447, ALBUQUERQUE, NM 87125-0447
(505) 356-0022
(505) 404-8720

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
04/27/2022
Last updated
04/27/2022
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