Organization
BRIDGING THE GAP DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIKATA BLAKEY (PRESIDENT)
(973) 432-0542
Entity
Organization
Contact information
Practice address
2917 SNAPSWELL ST, RALEIGH, NC 27614-7570
(973) 432-0542
Mailing address
2917 SNAPSWELL ST, RALEIGH, NC 27614-7570
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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