Organization
THE BRIDGE OF GEORGIA SCHOOL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMILA EMBRY BURT (EXECUTIVE DIRECTOR)
(770) 406-6111
Entity
Organization
Contact information
Practice address
109 BLAINE ST, MONROE, GA 30655-2403
(770) 406-6111
(678) 635-8709
Mailing address
109 BLAINE ST, PO BOX 542, MONROE, GA 30655-2403
(770) 406-6111
(678) 635-8709
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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