PHOENIX BRIDGE COMMUNITY SUPPORT is a residential treatment facility emotionally disturbed children in Burlington, 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. PHOENIX BRIDGE COMMUNITY SUPPORT NPI is 1508045998. The provider is registered as an organization entity type.
The provider's business location address is:
814 BRADLEY ST
BURLINGTON, NC
ZIP 27215-806
Phone: (336) 222-8522
Fax: (336) 222-8533
The provider's authorized official is Wendy Renee Jones .
The authorized official title is Program Director and has the following contact phone number (336) 222-8522.
The enumeration date for this NPI number is 11/1/2007 and was last updated on 11/1/2007.