Provider Demographics
NPI:1881009850
Name:THE BRIDGE CENTER, INC.
Entity Type:Organization
Organization Name:THE BRIDGE CENTER, INC.
Other - Org Name:THE BRIDGE CENTER, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:WINBUSH
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:251-229-6767
Mailing Address - Street 1:2029 AIRPORT BLVD STE B
Mailing Address - Street 2:NUMBER 180
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-1731
Mailing Address - Country:US
Mailing Address - Phone:251-229-5767
Mailing Address - Fax:
Practice Address - Street 1:2480 GOVERNMENT ST
Practice Address - Street 2:SUITE A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-1632
Practice Address - Country:US
Practice Address - Phone:251-229-5767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-27
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty