Organization
BRIDGEBUILDERS FAMILY & YOUTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON TYRONNE GRIER BA (EXECUTIVE DIRECTOR)
(704) 537-5760
Entity
Organization
Contact information
Practice address
5500 EXECUTIVE CENTER DR., SUITE 103, CHARLOTTE, NC 28212-8856
(704) 537-5760
(704) 537-5761
Mailing address
PO BOX 3707, GASTONIA, NC 28054-0038
(704) 537-5760
(704) 537-5761
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006891
—
NC
Enumeration date
03/10/2010
Last updated
03/10/2010
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