Organization
BRIDGING TO SUCCESS
Active
Other names
Bridging To Success
Organization subpart
No
Provider details
NPI number
Authorized official
PHILOMENA CHIKA DURU BSN, MSN (EXECUTIVE DIRECTOR)
(701) 281-9281
Entity
Organization
Contact information
Practice address
223 WEST 12TH, SALISBURY, NC 28144-3507
(704) 637-7562
(704) 636-0075
Mailing address
345 BONANZA DR, SALISBURY, NC 28144-9422
(704) 637-7562
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-080-139
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604266
—
NC
Enumeration date
12/11/2006
Last updated
03/13/2009
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