Organization
BRIDGING THE GAP FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAHMELL DASH MBA (CHIEF OPERATING OFFICER)
(917) 670-2651
Entity
Organization
Contact information
Practice address
10432 BALLS FORD RD, SUITE 383, MANASSAS, VA 20109-2514
(703) 881-7783
(703) 337-0320
Mailing address
10432 BALLS FORD RD, SUITE 383, MANASSAS, VA 20109-2514
(703) 881-7783
(703) 337-0320
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600949770
—
VA
Enumeration date
01/07/2015
Last updated
08/31/2015
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