Provider Demographics
NPI:1306907431
Name:BRIDGES FOR FAMILIES INCORPORATED
Entity type:Organization
Organization Name:BRIDGES FOR FAMILIES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER,VICE-PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:BRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:404-271-5191
Mailing Address - Street 1:1524 CHURCH ST STE E
Mailing Address - Street 2:PMB175
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-6500
Mailing Address - Country:US
Mailing Address - Phone:404-228-5689
Mailing Address - Fax:706-353-8530
Practice Address - Street 1:1524 CHURCH ST STE E
Practice Address - Street 2:PMB175
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-6500
Practice Address - Country:US
Practice Address - Phone:404-228-5689
Practice Address - Fax:706-353-8530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management