Bridge Support Services, LLC

NPI #1073090098 in Gorham, Maine

Provider Information

NPI Number: 1073090098
Entity Type: Organization
Organization Name: Bridge Support Services, LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 23, 2018
Last Updated: Jul 23, 2018

Practice Location

Address: 264 COUNTY RD
City: Gorham
State: Maine
ZIP Code: 04038-1913
Phone: (207) 747-7984

Authorized Official

Name: ASSUMANI RASHINDI
Title: PROGRAM MANAGER
Phone: (207) 747-7984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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