Organization
THE BRIDGE FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET A HANN (EXECUTIVE DIRECTOR)
(860) 521-8035
Entity
Organization
Contact information
Practice address
1038 FARMINGTON AVE, WEST HARTFORD, CT 06107-2109
(860) 313-1119
(860) 313-1449
Mailing address
1022 FARMINGTON AVE, WEST HARTFORD, CT 06107-2105
(860) 313-1119
(860) 313-1449
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008001149
MEDICARE
—
Enumeration date
05/17/2013
Last updated
05/17/2013
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