Community Bridges South, Inc.

NPI #1932882560 in Benton, Louisiana

Provider Information

NPI Number: 1932882560
Entity Type: Organization
Organization Name: Community Bridges South, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: COMMUNITY BRIDGES SOUTH, INC.
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Aug 10, 2023
Last Updated: Aug 10, 2023

Practice Location

Address: 115 SHERWOOD DR
City: Benton
State: Louisiana
ZIP Code: 71006-9701
Phone: (318) 255-9137

Authorized Official

Name: MATTHEW R PRICE
Title: CEO
Phone: (318) 255-9137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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