Organization
BRIDGES TO HEALTH THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITZI DIESING LMSW (OWNER)
(517) 300-3985
Entity
Organization
Contact information
Practice address
1200 N WEST AVE STE 810, JACKSON, MI 49202-2179
(517) 300-3985
Mailing address
1200 N WEST AVE STE 810, JACKSON, MI 49202-2179
(517) 300-3985
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801083573
LICENSE
MI
Enumeration date
09/03/2021
Last updated
09/23/2021
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