Organization · NPI-2

Bridge Development Corporation

Community/Behavioral Health · Meadows Place, TX

NPI number1043809924
StatusActive
Last updated in NPPESMay 22, 2024

Details

NPI
1043809924
Entity type
Organization (NPI-2)
Legal business name
Bridge Development Corporation
Organization subpart
No
Enumeration date
Jan 14, 2021
Certification date
May 22, 2024
Last updated
May 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251C00000X Day Training, Developmentally Disabled Services––
251G00000X Hospice Care, Community Based––
253Z00000X In Home Supportive Care––
261QD1600X Clinic/Center, Developmental Disabilities––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––
276400000X Rehabilitation, Substance Use Disorder Unit––
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances––
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children––
343900000X Non-emergency Medical Transport (VAN)––
385H00000X Respite Care––
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child––

Practice location

11902 Meadowdale Dr
Meadows Place, TX 77477-1713

Phone 832-655-8308

Mailing address

14019 Southwest Fwy # 419
Sugar Land, TX 77478-3563

Phone 832-655-8308

Authorized official

Johnny Lee Williams
Owner
8326558308

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