Organization
BUILDING BRIDGES OUTREACH LLC
Active
Other names
Building Bridges Outreach LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANEY WILSON (OWNER)
(202) 486-9837
Entity
Organization
Contact information
Practice address
6000 FAIRVIEW RD STE 1200, CHARLOTTE, NC 28210-2252
(980) 209-4294
Mailing address
250 N TRADE ST STE 205, MATTHEWS, NC 28105-9433
(202) 286-9837
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/16/2020
Last updated
02/10/2021
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