| New Bridges Inc | |
|
210 Queensland Ln Covington GA 30016 | |
| (678) 212-0998 | |
| (678) 212-0999 |
| Full Name | New Bridges Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 210 Queensland Ln, Covington, Georgia |
| Authorized Official Name and Position | John Oshifodunrin (CEO) |
| Authorized Official Contact | 6782120998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Bridges Inc 210 Queensland Ln Covington GA 30016 Ph: (678) 212-0998 | New Bridges Inc 210 Queensland Ln Covington GA 30016 Ph: (678) 212-0998 |
| NPI Number | 1295931889 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 07/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295931889 | NPI | - | NPPES |
| 639182774A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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