Organization
NEW BRIDGES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN OSHIFODUNRIN (CEO)
(678) 212-0998
Entity
Organization
Contact information
Practice address
210 QUEENSLAND LN, COVINGTON, GA 30016
(678) 212-0998
(678) 212-0999
Mailing address
210 QUEENSLAND LN, COVINGTON, GA 30016
(678) 212-0998
(678) 212-0999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639182774A
—
GA
Enumeration date
06/21/2007
Last updated
07/12/2007
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