Provider Demographics
NPI:1740657527
Name:THE BRIDGE OF CENTRAL MASSACHUSETTS, INC.
Entity type:Organization
Organization Name:THE BRIDGE OF CENTRAL MASSACHUSETTS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR ADMINISTRATION AND FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTERSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-755-0333
Mailing Address - Street 1:4 MANN ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602-3414
Mailing Address - Country:US
Mailing Address - Phone:508-755-0333
Mailing Address - Fax:508-755-2191
Practice Address - Street 1:4 MANN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602-3414
Practice Address - Country:US
Practice Address - Phone:508-755-0333
Practice Address - Fax:508-755-2191
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE BRIDGE OF CENTRAL MASSACHUSETTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-27
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health