NPI 1003205261

Bridge to Independent Living, LLC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Washington, DC

Practice location

Address: 5004 2nd St NW APT 1, Washington, DC 20011-4170
Phone: (231) 740-4625
Mailing address: 5000 2nd St NW APT 3, Washington, DC 20011-4171

Authorised official

Name: Michelle Antoinette Caviness
Title: President/Ceo
Phone: (202) 882-6444

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in District of Columbia →

Registry record

NPI: 1003205261
Entity type: Organization
NPI issued: 12 Jan 2015
Record last updated: 12 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.