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Organization

BRIDGES BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHANDRA COLVIN PSYD (OWNER)
(202) 425-6345
Entity
Organization

Contact information

Practice address
1818 NEW YORK AVE NE STE 115, WASHINGTON, DC 20002-1851
(202) 425-6345
Mailing address
7310 OLIVE BRANCH WAY, LAUREL, MD 20707-6918

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
163WP0808X
Psychiatric/Mental Health Registered Nurse
2084P0800X
Psychiatry Physician
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
06/13/2017
Last updated
06/13/2017
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