MEDICARE: THE BRIDGES CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	049367400	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477918233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE BRIDGES CENTER

Provider Business Mailing Address
First Line	:	824 SHEPHERD ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-5823
Country	:	US
Telephone Number	:	202-525-1082
Fax Number	:

Provider Business Practice Location Address
First Line	:	824 SHEPHERD ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-5823
Country	:	US
Telephone Number	:	202-525-1082
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. CHRISTOPHER WEST
Credential	:
Telephone Number	:	202-525-1082

Provider Enumeration Date	:	12/22/2015
Last Update Date	:	12/22/2015

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Directions to “THE BRIDGES CENTER ” Practice Location

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