# CENTRA HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridges at Brightwell
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740384957
- **Authorized official:** LEWIS C ADDISON (SRVP/CFO)
- **Authorized official phone:** (434) 947-4708

## Contact information

- **Practice address:** 1410 KENTMOOR FARM RD, MADISON HEIGHTS, VA 24572
- **Practice address phone:** (434) 947-3777
- **Practice address fax:** (434) 947-4763
- **Mailing address:** PO BOX 2496, LYNCHBURG, VI 24505
- **Mailing address phone:** (434) 947-3777
- **Mailing address fax:** (434) 947-4763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 05214002 | VA | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 01/10/2008