Organization
BRIDGEWELL RESIDENTIAL SERVICES, LLC
Active
Other names
BridgeWell Residential Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDRA NIKITA EDWARDS LCSW (OWNER, CLINICAL DIRECTOR)
(910) 990-1190
Entity
Organization
Contact information
Practice address
2801 MCLAIN ST., GOLDSBORO, NC 27534
(919) 394-6718
(919) 288-1276
Mailing address
112 TIBURON CT, GOLDSBORO, NC 27534-7085
(919) 394-6718
(919) 288-1276
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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