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NPI Code Detail

MEDICARE: BRIDGES CSA INC

MEDICARE: BRIDGES CSA INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1245808757
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGES CSA INC
Provider Business Mailing Address
First Line : 1468 W 9TH ST STE 100
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-1252
Country : US
Telephone Number : 216-438-3349
Fax Number :
Provider Business Practice Location Address
First Line : 1468 W 9TH ST STE 100
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-1252
Country : US
Telephone Number : 216-438-3349
Fax Number : 216-250-8148
Authorized Official
Title or Position : CEO
Name : CORTNEY STEWART
Credential :
Telephone Number : 216-438-3349
Provider Enumeration Date : 06/12/2021
Last Update Date : 07/02/2025

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