| Bridging The Gap Family Services | |
|
10432 Balls Ford Rd Suite 383 Manassas VA 20109-2514 | |
| (703) 881-7783 | |
| (703) 337-0320 |
| Full Name | Bridging The Gap Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10432 Balls Ford Rd, Manassas, Virginia |
| Authorized Official Name and Position | Rahmell Dash (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9176702651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging The Gap Family Services 10432 Balls Ford Rd Suite 383 Manassas VA 20109-2514 Ph: (703) 881-7783 | Bridging The Gap Family Services 10432 Balls Ford Rd Suite 383 Manassas VA 20109-2514 Ph: (703) 881-7783 |
| NPI Number | 1942698394 |
|---|---|
| Provider Enumeration Date | 01/07/2015 |
| Last Update Date | 08/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942698394 | NPI | - | NPPES |
| 600949770 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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