NPI | 1134750847 |
---|---|
Former Legal Business Name | BRIDGING THE GAP LLC |
Entity Type | Organization |
Authorized Contact | WANDA LASHELLE SANFERS CEO 706-399-2628 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-01-31 |
Last Update Date | 2020-01-31 |