Organization
THE BRIDGE HOUSEHOLD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS D WILKINS (CEO)
(804) 750-3468
Entity
Organization
Contact information
Practice address
2109 BAINBRIDGE ST, RICHMOND, VA 23225-3931
(804) 750-3468
Mailing address
PO BOX 26481, RICHMOND, VA 23261-6481
(804) 750-3468
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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