Bridgewater Support Services, LLC
NPI #1225427917 in Manchester, Michigan
Provider Information
- NPI Number
- 1225427917
- Entity Type
- Organization
- Organization Name
- Bridgewater Support Services, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 18, 2015
- Last Updated
- Jan 18, 2015
Practice Location
- Address
- 8139 ERNST RD
- City
- Manchester
- State
- Michigan
- ZIP Code
- 48158-9565
- Phone
- (734) 276-2765
Authorized Official
- Name
- MRS. AMBER DAWN BURKHARDT-SIDEBOTTOM, LMSW
- Title
- CLINICAL SOCIAL WORKER
- Phone
- (734) 276-2765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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