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1457729857 NPI number — A BRIDGE TO GROWTH, LLC

NPI Number: 1457729857
Health Care Provider/Practitioner: A BRIDGE TO GROWTH, LLC

Information about “1457729857” NPI (A BRIDGE TO GROWTH, LLC) exists in 1457729857 in HTML format HTML  |  1457729857 in plain Text format TXT  |  1457729857 in PDF (Portable Document Format) PDF  |  1457729857 in an XML format XML  formats.

NPI Number : 1457729857 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457729857",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "A BRIDGE TO GROWTH, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1495 N PARK DR",
    "SecondLineMailingAddress": "SUITE 102",
    "MailingAddressCityName": "WESTON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33326-3215",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "754-223-7810",
    "MailingAddressFaxNumber": "754-223-7827",
    "FirstLinePracticeLocationAddress": "1495 N PARK DR",
    "SecondLinePracticeLocationAddress": "SUITE 102",
    "PracticeLocationAddressCityName": "WESTON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33326-3215",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "754-223-7810",
    "PracticeLocationAddressFaxNumber": "754-223-7827",
    "EnumerationDate": "09/02/2015",
    "LastUpdateDate": "09/02/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GASTESI-DE ARMAS",
    "AuthorizedOfficialFirstName": "ALINA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CLINICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA, MED, LMHC",
    "AuthorizedOfficialTelephoneNumber": "954-319-2259",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": "06",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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