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BRIDGING TO SUCCESS NPI 1740340421


NPI Information

NPI: 1740340421
Provider Name: BRIDGING TO SUCCESS

Former Legal Business Name: BRIDGING TO SUCCESS

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
223 WEST 12TH
SALISBURY, NC
ZIP 28144
Phone: (704) 637-7562
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BRIDGING TO SUCCESS is a residential treatment facility emotionally disturbed children in Salisbury, 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 TO SUCCESS NPI is 1740340421. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Bridging To Success.

The provider's business location address is:

223 WEST 12TH
SALISBURY, NC
ZIP 28144-507
Phone: (704) 637-7562
Fax: (704) 636-0075

The provider's authorized official is Philomena Chika Duru .
The authorized official title is Executive Director and has the following contact phone number (701) 281-9281.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 3/13/2009.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-080-139NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16604266MEDICAIDNORTH CAROLINA

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: 4/28/2024

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