# BRIDGING THE GAP OF BR INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962669143
- **Authorized official:** MS. LUCILLE H GILLIAM (DIRECTOR)
- **Authorized official phone:** (225) 926-6978

## Contact information

- **Practice address:** 1821 WOODDALE COURT, BATON ROUGE, LA 70806-1535
- **Practice address phone:** (225) 926-6978
- **Practice address fax:** (225) 926-6694
- **Mailing address:** 1821 WOODDALE COURT, BATON ROUGE, LA 70806-1535
- **Mailing address phone:** (225) 926-6978
- **Mailing address fax:** (225) 926-6694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | 1175421 | LA | Yes |

## Other

- **Enumeration date:** 05/16/2008
- **Last updated:** 05/16/2008