Whalio Doctors

NPI 1497114599

The Bridge to Community Services

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Antioch, TN

Practice location

Address
76 Hickory Hollow Pl, Antioch, TN 37013-3012
Phone
(914) 318-4686

Authorised official

Name
Hawa Umu Jalloh
Title
Owner / Ceo
Phone
(914) 318-4686

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1497114599
Entity type
Organization
NPI issued
17 Feb 2016
Record last updated
17 Feb 2016

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.