Organization
BRIDGES ACED RAW PEER CLUB IPS INC
Active
Other names
Bridges Aced Raw Peer Support club
Organization subpart
No
Provider details
NPI number
Authorized official
CARLNELL FRAZIER (PRESIDENT)
(929) 345-5213
Entity
Organization
Contact information
Practice address
1695 MADISON AVE APT 8G, NEW YORK, NY 10029-1821
(929) 345-5213
Mailing address
1695 MADISON AVE APT 8G, NEW YORK, NY 10029-1821
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
03/25/2025
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