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THE BRIDGE AT BROOKSTOWN NPI 1417195785


NPI Information

NPI: 1417195785
Provider Name: THE BRIDGE AT BROOKSTOWN
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
235 S CHERRY ST
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 725-8646
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THE BRIDGE AT BROOKSTOWN is an addiction (substance use disorder) counselor in Winston Salem, NC. THE BRIDGE AT BROOKSTOWN NPI is 1417195785. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

235 S CHERRY ST
WINSTON SALEM, NC
ZIP 27101-230
Phone: (336) 725-8646
Fax: (336) 725-8654

The provider's authorized official is Barry N Williams .
The authorized official title is Medical Director and has the following contact phone number (336) 725-8646.

The enumeration date for this NPI number is 1/26/2009 and was last updated on 1/26/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)MHL034236NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.