Organization
BRIDGING THE GAPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GARZON MD (ATTENDING PHYSICIAN)
(540) 535-1111
Entity
Organization
Contact information
Practice address
423 W CORK ST, WINCHESTER, VA 22601-3812
(954) 587-7771
(954) 587-8622
Mailing address
423 W CORK ST, WINCHESTER, VA 22601-3812
(954) 587-7771
(954) 587-8622
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
42901006
VA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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