Organization
THE BRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TABITHA GAFNEY MA (COMPLIANCE DIRECTOR)
(212) 663-3000
Entity
Organization
Contact information
Practice address
248 W 108TH ST, NEW YORK, NY 10025-2956
(212) 663-3000
Mailing address
248 W 108TH ST, NEW YORK, NY 10025-2956
(212) 663-3000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
W32631
—
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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