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Organization
BRIDGING TO SUCCESS
Active
Organization
BRIDGING TO SUCCESS
Active
Other names
Bridging To Success
Organization subpart
No
Provider details
NPI number
Authorized official
PHILOMENA CHIKA DURU BSN, MSN (EXECUTIVE DIRECTOR)
(701) 281-9281
Entity
Organization
Contact information
Practice address
223 WEST 12TH, SALISBURY, NC 28144-3507
(704) 637-7562
(704) 636-0075
Mailing address
345 BONANZA DR, SALISBURY, NC 28144-9422
(704) 637-7562
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-080-139
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604266
—
NC
Enumeration date
12/11/2006
Last updated
03/13/2009
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