Organization
BRIDGING THE GAP HOLISTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELLA RICHARDSON (THERAPIST)
(513) 884-2414
Entity
Organization
Contact information
Practice address
3238 VILLAGE DR, FAIRFIELD, OH 45014-8119
(513) 884-2414
Mailing address
3238 VILLAGE DR, FAIRFIELD, OH 45014-8119
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I. 1000213-SUPV
OH
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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