Organization
BRIDGE OF EMPOWERMENT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEBORAH FAYE INGRAM (PRESIDENT)
(910) 318-3946
Entity
Organization
Contact information
Practice address
651 EAST WILMINGTON STREET, MAXTON, NC 28364
(910) 318-3946
Mailing address
675 NC HIGHWAY 71 N, MAXTON, NC 28364-8741
(910) 318-3946
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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