Brdige for Hudson Youth, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BRDIGE FOR HUDSON YOUTH, INC.

Doing business as

Bridge for Youth with Disabilities

Practice address

1901 Vine St
Hudson, WI 54016-9514

Phone

(715) 381-8230

NPI assigned

Nov 20, 2008

Last updated

Nov 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Peg Gagnon

Title

Executive Director

Phone

(612) 963-1913

Specialties & licenses 1

Addresses

Other names 1

• Bridge for Youth with Disabilities Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1053566828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 VINE ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169514",
            "telephone_number": "715-381-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 VINE ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169514",
            "telephone_number": "715-381-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRDIGE FOR HUDSON YOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-963-1913",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge for Youth with Disabilities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sloan Kennedy Liu Bozosi
• Kalianna Brahs
• Kay Christine Bramer
• Keith J. Bratulich, MD
• Brave Counseling and Coaching, PLLC
• Mary J Breault, H.I.S
• Bryan Thomas Brettin, DDS, MS
• Randy L Briggs, OTR
• Nathan M Brine, ATC LAT
• Kenneth R Brisson, DDS

• Developmentally Disabled Services Day Training Agency in Hudson, WI
• Providers in Hudson, WI by specialty
• Developmentally Disabled Services Day Training Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.