Organization
BRIDGING THE GAP SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN KEMP MHS, CSC-AD (EXECUTIVE DIRECTOR)
(240) 318-5790
Entity
Organization
Contact information
Practice address
3649 LEONARDTOWN RD, WALDORF, MD 20601-3626
(240) 318-5790
(240) 436-1349
Mailing address
5506 WINDSOR DR, TEMPLE HILLS, MD 20748-4052
(240) 318-5790
(240) 436-1949
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
906023
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423396400
—
MD
Enumeration date
07/12/2016
Last updated
09/17/2022
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