Bridgemark, Inc
Organization Active NPI Substance Abuse Rehabilitation Facility · Warwick, RI
NPI 1801966510 · NPPES record last updated Nov 13, 2012
Key facts
- NPI
- 1801966510
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- BRIDGEMARK, INC
- Practice address
- 2020 Elmwood Ave
Warwick, RI 02888-2404 - Phone
- (401) 781-2700
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Christine T Harkins, MA, CCJP
- Title
- Executive Director
- Phone
- (401) 781-2700
Practitioners 18
-
Thomas Ascenio, BA, BA, LCDP, TTST
-
Samantha L Clapper, MS, LCDP
-
Paula Cofoni, MA,BSW,LCDP, CCJP
-
Debra S Conley, LCDP, LADCI, LSW
-
Andrea Lynn Cournoyer, BA, LCDP
-
Matthew Degnan, BA
-
Mary Katherine Dixon-Standard, MSW, LICSW
-
Karen E Gavin, BA
-
Geoffrey Hoopis, LCDP
-
Edward McGuirl, LCDP
-
Debra Raichie, LCDP
-
Paul J Rocchio, HCDP
-
Steve Salvatore, LCDP
-
Joe L Smith, LCDP, CCJP, CAS, RCS
-
Rafael Urbaez, BS, LCDCS
-
Bryan K Barros, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
2020 Elmwood Ave
Warwick, RI 02888-2404
Mailing address
2020 Elmwood Ave
Warwick, RI 02888-2404
Phone (401) 781-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KH8120 | Medicaid | RI |
Other providers in Warwick, RI
- Tracey Lynn Brennan
- William F Brennan Jr.
- Brentwood Health Center, LTD
- Lauren N Bretanha
- Bridge of Hope Center
- Bridges of Change, LLC
- Bridges of Change, LLC
- Courtney Briggs
- Brightside Behavioral Health, LLC
- Breezy Nicole Bringhurst
All providers in Warwick, RI · Substance Abuse Rehabilitation Facility in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.