Organization
BRIDGE OF FAITH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARKEYITA MURDOCK (CO- OWNER)
(336) 287-6755
Entity
Organization
Contact information
Practice address
10 E CHURCH ST STE JMC, MARTINSVILLE, VA 24112-6204
(276) 656-6500
Mailing address
PO BOX 444, MARTINSVILLE, VA 24114-0444
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2451
VA
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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