# BRIDGES HEALTH AND WELLNESS

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

## Provider details

- **NPI number:** 1770929440
- **Authorized official:** DR. KENDELL JASPER PH.D. (CLINIC DIRECTOR)
- **Authorized official phone:** (980) 229-3788

## Contact information

- **Practice address:** 225 W MOREHEAD ST, CHARLOTTE, NC 28202-1521
- **Practice address phone:** (980) 229-3788
- **Practice address fax:** (980) 819-5694
- **Mailing address:** 5939 BRIGHTSTAR VALLEY RD, MINT HILL, NC 28227-0000
- **Mailing address phone:** (980) 229-3788
- **Mailing address fax:** (980) 819-5694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2013
- **Last updated:** 05/21/2013