Bridges To Greater Grace Foundation
Clinic/Center, Developmental Disabilities in Philadelphia, PA. Organization (NPI-2).
NPI number1679010656
StatusActive
Last updated in NPPESMar 13, 2017
Details
- NPI
- 1679010656
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridges To Greater Grace Foundation
- Organization subpart
- No
- Enumeration date
- Jan 27, 2017
- Last updated
- Mar 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
Practice location
820 N 45th St Unit 202Philadelphia, PA 19104-1377
Phone 718-924-7530
Mailing address
820 N 45th St Unit 202Philadelphia, PA 19104-1377
Phone 718-924-7530
Authorized official
Rachelle Lyron
Ceo
7189247530
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