Bridges Group Home
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in McKinney, TX. Organization (NPI-2).
NPI number1407423528
StatusActive
Last updated in NPPESJun 8, 2021
Details
- NPI
- 1407423528
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridges Group Home
- Organization subpart
- No
- Enumeration date
- Jun 8, 2021
- Certification date
- Jun 2, 2021
- Last updated
- Jun 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – |
Practice location
6551 McKinney Ranch Pkwy Apt 5403McKinney, TX 75070-4629
Phone 972-940-5589
Mailing address
6551 McKinney Ranch Pkwy Apt 5403McKinney, TX 75070-4629
Phone 972-940-5589
Authorized official
Joel C Madubuike
Executive Director
9729405589
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