Provider Demographics
NPI:1841907938
Name:BUILDING BRIDGES II INC.
Entity type:Organization
Organization Name:BUILDING BRIDGES II INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NITA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MIHLFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-578-2625
Mailing Address - Street 1:PO BOX 325
Mailing Address - Street 2:
Mailing Address - City:NEWBURG
Mailing Address - State:MO
Mailing Address - Zip Code:65550-0325
Mailing Address - Country:US
Mailing Address - Phone:573-578-2625
Mailing Address - Fax:573-762-2145
Practice Address - Street 1:23526 RESTORE
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:MO
Practice Address - Zip Code:65583-3215
Practice Address - Country:US
Practice Address - Phone:573-578-2625
Practice Address - Fax:573-762-2145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0002498533OtherLICENSE #