| The Bridge Of Georgia Center Inc. | |
|
109 Blaine St Monroe GA 30655-2403 | |
| (770) 406-6111 | |
| Not Available |
| Full Name | The Bridge Of Georgia Center Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 109 Blaine St, Monroe, Georgia |
| Authorized Official Name and Position | Tamila Burt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7704066111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bridge Of Georgia Center Inc. Po Box 542 Monroe GA 30655-0542 Ph: (770) 406-6111 | The Bridge Of Georgia Center Inc. 109 Blaine St Monroe GA 30655-2403 Ph: (770) 406-6111 |
| NPI Number | 1861027690 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 03/12/2020 |
| Certification Date | 03/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861027690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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