Organization
THE BRIDGE FAMILY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LEE VIRGIE (INTERN)
(860) 416-8455
Entity
Organization
Contact information
Practice address
1038 FARMINGTON AVE, WEST HARTFORD, CT 06107-2109
(860) 313-1999
Mailing address
1022 FARMINGTON AVE, WEST HARTFORD, CT 06107-2105
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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