Provider Demographics
NPI:1962641357
Name:MM UNLIMITED INC.
Entity Type:Organization
Organization Name:MM UNLIMITED INC.
Other - Org Name:BRIDGES RECOVERY NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:SLIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-421-1184
Mailing Address - Street 1:3811 FLORIN RD STE 26
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-1822
Mailing Address - Country:US
Mailing Address - Phone:916-421-1184
Mailing Address - Fax:916-421-1188
Practice Address - Street 1:3811 FLORIN RD
Practice Address - Street 2:STE 26/12
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-1800
Practice Address - Country:US
Practice Address - Phone:916-421-1184
Practice Address - Fax:916-421-1188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YA0400X
CAA62263103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA343471OtherADP DRUG MEDI-CAL