Family Bridges Therapeutic Associates LLC
NPI #1396706818 in Georgetown, South Carolina
Provider Information
- NPI Number
- 1396706818
- Entity Type
- Organization
- Organization Name
- Family Bridges Therapeutic Associates LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 1, 2006
- Last Updated
- Jun 13, 2010
Practice Location
- Address
- 635 S HAZARD ST
- City
- Georgetown
- State
- South Carolina
- ZIP Code
- 29440-4728
- Phone
- (843) 249-1781
Authorized Official
- Name
- MR. MICHAEL J MANGIN, MED
- Title
- OFFICE MANAGER
- Phone
- (843) 240-1781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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