Provider Demographics
NPI:1306181441
Name:THE BRIDGE ORGANIZATION INC
Entity Type:Organization
Organization Name:THE BRIDGE ORGANIZATION INC
Other - Org Name:THE BRIDGE CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEONA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:678-683-8946
Mailing Address - Street 1:1915 WALKER AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30337-1119
Mailing Address - Country:US
Mailing Address - Phone:678-683-8946
Mailing Address - Fax:866-476-0864
Practice Address - Street 1:1915 WALKER AVE
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-1119
Practice Address - Country:US
Practice Address - Phone:678-683-8946
Practice Address - Fax:866-476-0864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management