Bridge the Gap, INC
NPI #1073990420 in Shawano, Wisconsin
Provider Information
- NPI Number
- 1073990420
- Entity Type
- Organization
- Organization Name
- Bridge the Gap, INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 5, 2015
- Last Updated
- May 5, 2015
Practice Location
Authorized Official
- Name
- LESLEY LINN LALUZERNE
- Title
- PRESIDENT
- Phone
- (715) 526-3791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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