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Organization
BRIDGEWAY COMMUNITY SERVICES ,INC
Active
Organization
BRIDGEWAY COMMUNITY SERVICES ,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAIAH A TEASLEY (PRESIDENT)
(301) 585-1099
Entity
Organization
Contact information
Practice address
7600 GEORGIA AVE NW STE 301, WASHINGTON, DC 20012-1616
(301) 585-1009
Mailing address
7600 GEORGIA AVE NW STE 301, WASHINGTON, DC 20012-1616
(301) 585-1009
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
DC
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/22/2009
Last updated
01/23/2020
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