Organization · NPI-2

Bridge Core Community Services Corp.

Day Training/Habilitation Specialist · Glendale, AZ

NPI number1104757137

StatusActive

Last updated in NPPESMay 27, 2026

Details

NPI: 1104757137
Entity type: Organization (NPI-2)
Legal business name: Bridge Core Community Services Corp.
Organization subpart: No
Enumeration date: May 27, 2026
Certification date: May 27, 2026
Last updated: May 27, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
373H00000X	Day Training/Habilitation Specialist	–	–	Yes

Practice location

7245 N 74th Ave
Glendale, AZ 85303-3046

Phone 602-318-7700 · Fax 602-318-7700

Mailing address

7245 N 74th Ave
Glendale, AZ 85303-3046

Phone 602-318-7700 · Fax 602-318-7700

Authorized official

Million Ayele Firew
Owner
6023187700

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