Provider Demographics
NPI:1336564558
Name:WHITE BRIDLE HUMANE SOCIETY
Entity Type:Organization
Organization Name:WHITE BRIDLE HUMANE SOCIETY
Other - Org Name:WHITE BRIDLE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BROOK
Authorized Official - Middle Name:
Authorized Official - Last Name:BULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-740-0900
Mailing Address - Street 1:615 THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-7218
Mailing Address - Country:US
Mailing Address - Phone:972-740-0900
Mailing Address - Fax:
Practice Address - Street 1:615 THOMPSON ST
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-7218
Practice Address - Country:US
Practice Address - Phone:972-740-0900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services