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Bridges Of Change, LLC

Counselor, Addiction (Substance Use Disorder) in Warwick, RI. Organization (NPI-2).

NPI number1528949872
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1528949872
Entity type
Organization (NPI-2)
Legal business name
Bridges Of Change, LLC
Organization subpart
No
Enumeration date
Sep 11, 2025
Certification date
Sep 11, 2025
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes
103TA0400X Psychologist, Addiction (Substance Use Disorder)––
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)––
207QA0401X Family Medicine, Addiction Medicine––
207RA0401X Internal Medicine, Addiction Medicine––
2083A0300X Preventive Medicine, Addiction Medicine––

Other names

  • Bridges Recovery Care (Doing Business As)

Practice location

35 Pender Ave
Warwick, RI 02889-4804

Phone 401-251-6372 · Fax 401-251-2813

Mailing address

35 Pender Ave
Warwick, RI 02889-4804

Phone 401-251-6372 · Fax 401-251-2813

Authorized official

Paul Gelardo Maratta
Ceo
4013593581

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