Provider Demographics
NPI:1730774092
Name:BRIDGE OF HOPE MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:BRIDGE OF HOPE MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:QMHPA
Authorized Official - Phone:804-347-8637
Mailing Address - Street 1:13348 SLAYDEN CIR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-7459
Mailing Address - Country:US
Mailing Address - Phone:804-347-8637
Mailing Address - Fax:
Practice Address - Street 1:13348 SLAYDEN CIR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-7459
Practice Address - Country:US
Practice Address - Phone:804-347-8637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health