| The Bridge Family Center | |
|
1559 Johnson Rd Nw Atlanta GA 30318-4017 | |
| (404) 792-0070 | |
| (404) 794-0444 |
| Full Name | The Bridge Family Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1559 Johnson Rd Nw, Atlanta, Georgia |
| Authorized Official Name and Position | Thomas Austin Webb (CFO) |
| Authorized Official Contact | 4044461531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bridge Family Center 1559 Johnson Rd Nw Atlanta GA 30318-4017 Ph: (404) 792-0070 | The Bridge Family Center 1559 Johnson Rd Nw Atlanta GA 30318-4017 Ph: (404) 792-0070 |
| NPI Number | 1023141918 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023141918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CCI-10054 (Georgia) | Primary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | CCI-10054 (Georgia) | Secondary |
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