Bridge Back To Life Center, Inc.

LBN: Bridge Back To Life Center, Inc.
Bridge Back To Life Center, Inc. is an health care organization with primary practice located at 4271 Hempstead Tpke , Bethpage NY 11714-5708. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Bridge Back To Life Center, Inc. can be contacted via phone (516) 520-6600, or through Butchen, Gary via phone (516) 520-6600.

Contact Information

Primary practice address
4271 Hempstead Tpke Bethpage NY 11714-5708
Phone: (516) 520-6600
Fax: (516) 520-6750
Website:
Map and Directions
Authorized official contact:
Name: Butchen, Gary LCSW-R, SAP
Phone: (516) 520-6600

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1518918101
LBN Legal business name Bridge Back To Life Center, Inc.
DBA Doing business as
Authorized official Butchen, Gary LCSW-R, SAP
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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