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BRIDGING THE GAPS NPI 1689835910


NPI Information

NPI: 1689835910
Provider Name: BRIDGING THE GAPS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 49D2026702

Address:
423 W CORK ST
WINCHESTER, VA
ZIP 22601
Phone: (954) 587-7771
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BRIDGING THE GAPS is a substance abuse rehabilitation facility in Winchester, VA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BRIDGING THE GAPS NPI is 1689835910. The provider is registered as an organization entity type.

The provider's business location address is:

423 W CORK ST
WINCHESTER, VA
ZIP 22601-812
Phone: (954) 587-7771
Fax: (954) 587-8622

The provider's authorized official is Mark Garzon .
The authorized official title is Attending Physician and has the following contact phone number (540) 535-1111.

The CLIA number assigned to this NPI record is 49D2026702 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2008 and was last updated on 6/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility42901006VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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