Bridge to Independent Living, Llc.
NPI #1003205261 in Washington, District of Columbia
Provider Information
- NPI Number
- 1003205261
- Entity Type
- Organization
- Organization Name
- Bridge to Independent Living, Llc.
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 12, 2015
- Last Updated
- Jan 12, 2015
Practice Location
- Address
- 5004 2ND ST NW APT 1
- City
- Washington
- State
- District of Columbia
- ZIP Code
- 20011-4170
- Phone
- (231) 740-4625
Authorized Official
- Name
- MRS. MICHELLE ANTOINETTE CAVINESS
- Title
- PRESIDENT/CEO
- Phone
- (202) 882-6444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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