Provider Demographics
NPI:1245673995
Name:BRIDGING THE GAPS TODAY, INC.
Entity type:Organization
Organization Name:BRIDGING THE GAPS TODAY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:ED D, ST
Authorized Official - Phone:678-615-4820
Mailing Address - Street 1:17 HAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-3159
Mailing Address - Country:US
Mailing Address - Phone:678-561-3043
Mailing Address - Fax:866-539-7785
Practice Address - Street 1:1135 VIRGINIA LEE LN
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-4874
Practice Address - Country:US
Practice Address - Phone:404-626-8580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12084654251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health