Healthcare Provider Details

I. General information

NPI: 1508582818
Provider Name (Legal Business Name): BRIDGES COMMUNITY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2022
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41197 GOLDEN GATE CIR STE 104
MURRIETA CA
92562-6998
US

IV. Provider business mailing address

41197 GOLDEN GATE CIR STE 104
MURRIETA CA
92562-6998
US

V. Phone/Fax

Practice location:
  • Phone: 951-290-7210
  • Fax:
Mailing address:
  • Phone: 951-290-7210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: HAYLEY VENARD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 951-290-7210