Organization
BRIDGING B.L.O.C.K.S, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL FIELDS BCBA (OWNER)
(757) 470-1174
Entity
Organization
Contact information
Practice address
331 KEMP LN, CHESAPEAKE, VA 23325-2302
(757) 470-1174
(757) 909-6831
Mailing address
331 KEMP LN, CHESAPEAKE, VA 23325-2302
(757) 470-1174
(757) 909-6831
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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