# THE BRIDGE AT BROOKSTOWN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417195785
- **Authorized official:** DR. BARRY N WILLIAMS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (336) 725-8646

## Contact information

- **Practice address:** 235 S CHERRY ST, WINSTON SALEM, NC 27101-5230
- **Practice address phone:** (336) 725-8646
- **Practice address fax:** (336) 725-8654
- **Mailing address:** 235 S CHERRY ST, WINSTON SALEM, NC 27101-5230
- **Mailing address phone:** (336) 725-8646
- **Mailing address fax:** (336) 725-8654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MHL034236 | NC | Yes |

## Other

- **Enumeration date:** 01/26/2009
- **Last updated:** 01/26/2009