Mind Bridge Center LLC

NPI #1790304616 in Mc Lean, Virginia

Provider Information

NPI Number
1790304616
Entity Type
Organization
Organization Name
Mind Bridge Center LLC
Primary Specialty
Internal Medicine - Addiction Medicine
Enumeration Date
Apr 10, 2020
Last Updated
Apr 10, 2020

Practice Location

Address
1390 CHAIN BRIDGE RD # 10033
ZIP Code
22101-3904
Phone
(571) 766-8107

Authorized Official

Name
DR. KURWA NYIGU, MD
Title
CEO
Phone
(336) 624-7164

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Addiction MedicineAddiction Medicine

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