Organization
BRIDGEFORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA BROWN MSW (DIRECTOR)
(313) 303-2779
Entity
Organization
Contact information
Practice address
15562 HEMLOCK ST, DETROIT, MI 48235-3843
(313) 837-3552
Mailing address
PO BOX 760328, LATHRUP VILLAGE, MI 48076-0328
(313) 837-3552
(248) 569-9201
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
MI
Other
Enumeration date
10/14/2006
Last updated
09/11/2025
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