Organization
BRIDGING LEGACIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIARA HEDGEPETH (DIRECTOR)
(910) 467-6645
Entity
Organization
Contact information
Practice address
125 KILLIS BLVD, RICHLANDS, NC 28574-6397
(910) 467-6645
Mailing address
125 KILLIS BLVD, RICHLANDS, NC 28574-6397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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