A BRIDGE TO RECOVERY NPI 1972631141

NPI Information

A BRIDGE TO RECOVERY is a mental health counselor in Ridgeland, MS. A BRIDGE TO RECOVERY NPI is 1972631141. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

361 TOWNE CENTER BLVD
STE 1300
RIDGELAND, MS
ZIP 39157-863
Phone: (601) 977-9353

The provider's authorized official is Scott Richard Gilbert .
The authorized official title is President and has the following contact phone number (601) 977-9353.

The CLIA number assigned to this NPI record is 25D1103964 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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