Organization
BRIDGE 2 SUCCESS GROUP HOME, INC
Active
Other names
Bridge 2 Success Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
LEKEYSHA DENISE AYENUMELO (EXECUTIVE DIRECTOR)
(336) 307-3845
Entity
Organization
Contact information
Practice address
902 KROLL LN, HIGH POINT, NC 27260-5851
(336) 307-3845
(336) 307-4376
Mailing address
902 KROLL LN, HIGH POINT, NC 27260-5851
(336) 307-3845
(336) 307-4376
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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