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 2857 W 8Th St , Brooklyn NY 11224-3604. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as 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 (212) 679-4960.

Contact Information

Primary practice address
2857 W 8Th St Brooklyn NY 11224-3604
Phone: (718) 265-4200
Fax: (718) 265-8536
Website:
Map and Directions
Authorized official contact:
Name: Butchen, Gary
Phone: (212) 679-4960

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 111111254 New York

Profile Details

NPI number 1922336106
LBN Legal business name Bridge Back To Life Center Inc
DBA Doing business as
Authorized official Butchen, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2009
Last updated Nov 25th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922336106 NPPES
New York Other 075282 LMSW

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