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Organization

BRIDGING THE GAP ADC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS REGINA CRAWFORD RN (OWNER)
(334) 560-6345
Entity
Organization

Contact information

Practice address
909 TALBOTTON RD STE C, COLUMBUS, GA 31904-8851
(706) 780-1024
Mailing address
6141 BROOKSTONE BLVD, COLUMBUS, GA 31904-2959
(334) 560-6345

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251S00000X
Community/Behavioral Health Agency
261QD1600X
Developmental Disabilities Clinic/Center

Other

Enumeration date
12/14/2023
Last updated
12/15/2023
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