Organization
THE BRIDGE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA CLEAVES MSD (EXECUTIVE DIRECTOR)
(757) 818-9336
Entity
Organization
Contact information
Practice address
850 TIDEWATER DR, SUITE A, NORFOLK, VA 23504-3300
(757) 818-9336
(757) 533-9634
Mailing address
850 TIDEWATER DR, SUITE A, NORFOLK, VA 23504-3300
(757) 818-9336
(757) 533-9634
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
CPA302
VA
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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