Provider Demographics
NPI:1598514085
Name:BRIDGING THE GAP, INC.
Entity type:Organization
Organization Name:BRIDGING THE GAP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-455-8060
Mailing Address - Street 1:34 ROBERTS ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3415
Mailing Address - Country:US
Mailing Address - Phone:203-455-8060
Mailing Address - Fax:
Practice Address - Street 1:30 ARBOR ST UNIT 201
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-1238
Practice Address - Country:US
Practice Address - Phone:203-455-8060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty