OrganizationActive
Bridge Back to Life
NPI 1083942411 · Substance Use Disorder Rehabilitation Clinic/Center · New York, NY
Provider details
- NPI number
- 1083942411
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Vigil, Counselor(212) 679-4960
- License
- 17584 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
500 8th Ave Rm 906
New York, NY 10018-4190
Phone: (212) 679-4960
Approximate (ZIP-level) locationGet directions
Mailing address
500 8th Ave Rm 906
New York, NY 10018-4190
Registry dates
- Enumerated
- 2009-11-23
- Last updated
- 2009-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.