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Organization

BRIDGEBUILDERS FAMILY & YOUTH SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VERNON TYRONNE GRIER BA (EXECUTIVE DIRECTOR)
(704) 451-7630
Entity
Organization

Contact information

Practice address
2025 EBENEZER RD STE G2, ROCK HILL, SC 29732-1078
(803) 619-6900
(803) 619-6913
Mailing address
2025 EBENEZER RD STE G2, ROCK HILL, SC 29732-1078
(803) 619-6900
(803) 619-6913

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3410080
NC
05
8703082
NC
Enumeration date
11/08/2010
Last updated
05/20/2016
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