Organization
BRIDGE MANIFEST COMMUNITY ENRICHMENT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD TREMAYNE POWELL (CEO)
(252) 343-7002
Entity
Organization
Contact information
Practice address
319 W NORTHERN BLVD, TARBORO, NC 27886-2452
(252) 343-7002
(252) 343-7002
Mailing address
319 W NORTHERN BLVD, TARBORO, NC 27886-2452
(252) 343-7002
(252) 343-7002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QV0200X
VA Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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