Provider Demographics
NPI:1124557046
Name:NEW BRIDGE FOUNDATION, INC.
Entity Type:Organization
Organization Name:NEW BRIDGE FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:NATHALIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GIREAUD-FERKP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-526-6200
Mailing Address - Street 1:2323 HEARST AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94709-1319
Mailing Address - Country:US
Mailing Address - Phone:510-526-6200
Mailing Address - Fax:510-665-3176
Practice Address - Street 1:2425 STUART ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1115
Practice Address - Country:US
Practice Address - Phone:510-644-6330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2017-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health