# BRIDGES GROUP HOME, INC.

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

## Provider details

- **NPI number:** 1972797272
- **Authorized official:** MRS. JOAN YOUNG (OWNER/QP)
- **Authorized official phone:** (910) 785-2367

## Contact information

- **Practice address:** 1274 NC HIGHWAY 41 S, LUMBERTON, NC 28358-0215
- **Practice address phone:** (910) 785-2667
- **Mailing address:** 1274 NC HIGHWAY 41 S, LUMBERTON, NC 28358-0000
- **Mailing address phone:** (910) 785-2667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-078-169 | NC | Yes |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 08/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603908 | — | NC |