NPI 1225427917

Bridgewater Support Services, LLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Manchester, MI

Practice location

Address: 8139 Ernst Rd, Manchester, MI 48158-9565
Phone: (734) 276-2765

Authorised official

Name: Amber Dawn Burkhardt-Sidebottom
Title: Clinical Social Worker
Phone: (734) 276-2765

Registered specialties (3)

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence 6801087977 (MI)

Other Clinic/Center providers in Michigan →

Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence 6801087977 (MI)

Adolescent and Children Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0855X Licence 6801087977 (MI)

Registry record

NPI: 1225427917
Entity type: Organization
NPI issued: 18 Jan 2015
Record last updated: 18 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.