Organization
JOYBRIDGE KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER CUMMINGS (FINANCE DIRECTOR)
(615) 560-6622
Entity
Organization
Contact information
Practice address
555 FAYETTEVILLE ST STE 300, RALEIGH, NC 27601-3066
(615) 560-6622
Mailing address
555 FAYETTEVILLE ST STE 300, RALEIGH, NC 27601-3066
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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