Organization
PHOENIX BRIDGE COMMUNITY SERVICES
Active
Parent organization
PHOENIX BRIDGE GROUP HOMES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX BRIDGE GROUP HOMES, INC.
Authorized official
MISS WENDY RENEE JONES (PROGRAM DIRECTOR)
(336) 222-8522
Entity
Organization
Contact information
Practice address
909A SOUTH MAIN STREET, BURLINGTON, NC 27215
(336) 222-8522
(336) 222-8533
Mailing address
909A SOUTH MAIN STREET, BURLINGTON, NC 27215
(336) 222-8522
(336) 222-8533
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301363
—
NC
Enumeration date
11/26/2007
Last updated
11/26/2007
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