OrganizationActive
Bridge Back to Life
NPI 1962862987 · Children's Substance Abuse Rehabilitation Facility · New York, NY
Provider details
- NPI number
- 1962862987
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Anthony Demma, Director
Practice location
500 8th Ave Rm 906
New York, NY 10018-4190
Phone: (212) 679-4960
Fax: (212) 399-5444
Mailing address
500 8th Ave Rm 906
New York, NY 10018-4190
Registry dates
- Enumerated
- 2016-03-03
- Last updated
- 2016-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.