Organization
BRIDGES FAMILY SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI SQUIRES SINGLETON (OWNER/MEMBER)
(704) 904-2236
Entity
Organization
Contact information
Practice address
2922 AUDREY DR, GASTONIA, NC 28054-7268
(704) 904-2236
Mailing address
3121 STRONG BOX LN, GASTONIA, NC 28052-6190
(704) 349-3980
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/30/2023
Last updated
09/18/2023
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