# BRIDGING TO SUCCESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridging To Success
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740340421
- **Authorized official:** PHILOMENA CHIKA DURU BSN, MSN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (701) 281-9281

## Contact information

- **Practice address:** 223 WEST 12TH, SALISBURY, NC 28144-3507
- **Practice address phone:** (704) 637-7562
- **Practice address fax:** (704) 636-0075
- **Mailing address:** 345 BONANZA DR, SALISBURY, NC 28144-9422
- **Mailing address phone:** (704) 637-7562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-080-139 | NC | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | — |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 03/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6604266 | — | NC |