BRIDGING THE GAP WITH LIFE SKILLS NPI 1659412997

NPI Information

BRIDGING THE GAP WITH LIFE SKILLS is a residential treatment facility emotionally disturbed children in Raleigh, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. BRIDGING THE GAP WITH LIFE SKILLS NPI is 1659412997. The provider is registered as an organization entity type.

The provider's business location address is:

2507 BLACKWOLF RUN LN
RALEIGH, NC
ZIP 27604-425
Phone: (919) 250-9546
Fax: (919) 250-7569

The provider's authorized official is Tammy Worthington .
The authorized official title is Quality Servies Director and has the following contact phone number (919) 833-2544.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 7/20/2007.

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:

Other Identifiers

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