Provider Demographics
NPI:1275762841
Name:BRIDGES COMMUNITY TREATMENT SERVICES INC
Entity Type:Organization
Organization Name:BRIDGES COMMUNITY TREATMENT SERVICES INC
Other - Org Name:BRIDGES TRUSTART
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:PENDROFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-623-6651
Mailing Address - Street 1:279 E ARROW HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-3319
Mailing Address - Country:US
Mailing Address - Phone:909-623-6651
Mailing Address - Fax:909-623-0455
Practice Address - Street 1:20501 VENTURA BLVD
Practice Address - Street 2:STE 170, 180
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2337
Practice Address - Country:US
Practice Address - Phone:909-623-6651
Practice Address - Fax:909-623-0455
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIDGES COMMUNITY TREATMENT SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-05
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health