Provider Demographics
NPI:1821273764
Name:BRIDGE CENTER OF SCHENECTADY, INC.
Entity Type:Organization
Organization Name:BRIDGE CENTER OF SCHENECTADY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:FAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-346-1277
Mailing Address - Street 1:72 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2430
Mailing Address - Country:US
Mailing Address - Phone:518-346-1277
Mailing Address - Fax:518-346-1152
Practice Address - Street 1:72 UNION AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2430
Practice Address - Country:US
Practice Address - Phone:518-346-1277
Practice Address - Fax:518-346-1152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility