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Organization
BLISSFUL BRIDGE TO WELLNESS
Active
Organization
BLISSFUL BRIDGE TO WELLNESS
Active
Other names
Blissful Bridge to Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY DICKEY MSW, LCSWA (CEO)
(910) 787-1282
Entity
Organization
Contact information
Practice address
410 ANDERSON ST, WILMINGTON, NC 28401-4210
(910) 787-1282
Mailing address
410 ANDERSON ST, WILMINGTON, NC 28401-4210
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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