NPI 1073090098

Bridge Support Services, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Gorham, ME

Practice location

Address: 264 County Rd, Gorham, ME 04038-1913
Phone: (207) 747-7984
Mailing address: PO Box 10272, Portland, ME 04104-0272

Authorised official

Name: Assumani Rashindi
Title: Program Manager
Phone: (207) 747-7984

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1073090098
Entity type: Organization
NPI issued: 23 Jul 2018
Record last updated: 23 Jul 2018

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.