Organization
THE RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETT L AUGUSTINO-WILKE PHD, LADAC II (EXECUTIVE DIRECTOR)
(615) 985-2424
Entity
Organization
Contact information
Practice address
514 HILL ST, SPRINGFIELD, TN 37172
(615) 985-2424
Mailing address
514 HILL ST, SPRINGFIELD, TN 37172
(615) 985-2424
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0027598
OH
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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