OrganizationActive
Bridge Back to Life Center Inc
NPI 1922336106 · Substance Use Disorder Rehabilitation Clinic/Center · Brooklyn, NY
Provider details
- NPI number
- 1922336106
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Butchen, President(212) 679-4960
- License
- 111111254 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2857 W 8th St
Brooklyn, NY 11224-3604
Phone: (718) 265-4200
Fax: (718) 265-8536
Street-level locationGet directions
Mailing address
2857 W 8th St
Brooklyn, NY 11224-3604
Registry dates
- Enumerated
- 2009-11-25
- Last updated
- 2009-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.