Organization
THE BRIDGE FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET HANN (EXECUTIVE DIRECTOR)
(860) 521-8035
Entity
Organization
Contact information
Practice address
1038 FARMINGTON AVE, WEST HARTFORD, CT 06107-2109
(860) 313-1119
Mailing address
1022 FARMINGTON AVE, WEST HARTFORD, CT 06107-2105
(860) 521-8035
(860) 313-1449
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
002363
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QM0855X
—
CT
Enumeration date
08/05/2013
Last updated
08/05/2013
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