Provider Demographics
NPI:1235340167
Name:FAMILIES AND INDIVIDUALS TURNING TOWARD HOPE, INC.
Entity Type:Organization
Organization Name:FAMILIES AND INDIVIDUALS TURNING TOWARD HOPE, INC.
Other - Org Name:CONNECTING BRIDGES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO AND PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:MSC, LPC
Authorized Official - Phone:215-275-0875
Mailing Address - Street 1:45 E CITY LINE AVE
Mailing Address - Street 2:#486
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-2421
Mailing Address - Country:US
Mailing Address - Phone:215-275-0875
Mailing Address - Fax:215-243-8084
Practice Address - Street 1:45 E CITY LINE AVE
Practice Address - Street 2:#486
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-2421
Practice Address - Country:US
Practice Address - Phone:215-275-0875
Practice Address - Fax:215-243-8084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0097942Medicaid