Organization
BRIDGES FOR CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARVA WHITE (CEO/DIRECTOR)
(478) 787-8608
Entity
Organization
Contact information
Practice address
54 HARRIS ST., REYNOLDS, GA 31076
(478) 787-8608
(478) 847-3356
Mailing address
PO BOX 221, REYNOLDS, GA 31076-0221
(478) 787-8608
(478) 847-3356
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
11834
GA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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