Organization
CENTRA HEALTH INC
Active
Other names
Bridges Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS C ADDISON (SRVP/CFO)
(434) 947-4708
Entity
Organization
Contact information
Practice address
693 LEESVILLE RD, LYNCHBURG, VA 24502
(434) 947-3777
(434) 947-4763
Mailing address
PO BOX 2496, LYNCHBURG, VA 24505
(434) 947-3777
(434) 947-4763
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
05214001
VA
Other
Enumeration date
09/08/2006
Last updated
08/22/2020
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