Bridge Back To Life Center, Inc.

LBN: Bridge Back To Life Center, Inc.
Bridge Back To Life Center, Inc. is an health care organization with primary practice located at 3044 Coney Island Ave 3Rd Floor, Brooklyn NY 11235-5660. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Bridge Back To Life Center, Inc. can be contacted via phone (718) 265-4200, or through Butchen, Gary via phone (516) 520-6600.

Contact Information

Primary practice address
3044 Coney Island Ave 3Rd Floor Brooklyn NY 11235-5660
Phone: (718) 265-4200
Fax: (718) 265-8536
Website:
Map and Directions
Authorized official contact:
Name: Butchen, Gary LCSW-R, SAP
Phone: (516) 520-6600

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 141111254 New York
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 141111254 New York

Profile Details

NPI number 1184041998
LBN Legal business name Bridge Back To Life Center, Inc.
DBA Doing business as
Authorized official Butchen, Gary LCSW-R, SAP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2014
Last updated Nov 7th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184041998 NPPES
New York MEDICAID 01439087

Popular Providers