Provider Demographics
NPI:1710937693
Name:THE BRIDGE, INC
Entity Type:Organization
Organization Name:THE BRIDGE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:NAUGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-546-6324
Mailing Address - Street 1:3232 LAY SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35904-8611
Mailing Address - Country:US
Mailing Address - Phone:256-546-6324
Mailing Address - Fax:256-456-0023
Practice Address - Street 1:3232 LAY SPRINGS RD
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35904-8611
Practice Address - Country:US
Practice Address - Phone:256-546-6324
Practice Address - Fax:256-456-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)