# BRIDGEBUILDERS

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

## Provider details

- **NPI number:** 1720142847
- **Authorized official:** MR. VERNON T GRIER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (704) 864-4623

## Contact information

- **Practice address:** 606 HILLSIDE DR, KINGS MTN, NC 28086-3219
- **Practice address phone:** (704) 864-4623
- **Practice address fax:** (704) 864-3331
- **Mailing address:** PO BOX 3707, GASTONIA, NC 28054-0020
- **Mailing address phone:** (704) 864-4623
- **Mailing address fax:** (704) 864-3331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL030463 | NC | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 08/01/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603957 | — | NC |