Provider Demographics
NPI:1164968962
Name:BRIDGING THE GAP FAMILY SERVICES
Entity Type:Organization
Organization Name:BRIDGING THE GAP FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAHMELL
Authorized Official - Middle Name:
Authorized Official - Last Name:DASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-279-3689
Mailing Address - Street 1:175 HUGUENOT ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-7761
Mailing Address - Country:US
Mailing Address - Phone:571-279-3689
Mailing Address - Fax:
Practice Address - Street 1:175 HUGUENOT ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-7761
Practice Address - Country:US
Practice Address - Phone:571-279-3689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health