The Bridge to Community Services

NPI #1497114599 in Antioch, Tennessee

Provider Information

NPI Number: 1497114599
Entity Type: Organization
Organization Name: The Bridge to Community Services
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 17, 2016
Last Updated: Feb 17, 2016

Practice Location

Address: 76 HICKORY HOLLOW PL
City: Antioch
State: Tennessee
ZIP Code: 37013-3012
Phone: (914) 318-4686

Authorized Official

Name: MRS. HAWA UMU JALLOH, MSW, CASAC
Title: OWNER / CEO
Phone: (914) 318-4686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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