Organization · Type 2 NPI

Bridge the Gap, Inc

Community/Behavioral Health Agency · Shawano, WI

NPI number 1073990420 Active

Practice location

1415 E Green Bay St, Suite 111
Shawano, WI 54166-3879

Fax (715) 526-5537

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1073990420

Bridge the Gap, Inc's National Provider Identifier is 1073990420, issued on May 5, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Shawano, WI. The record was last updated on May 5, 2015.