Organization
BRIDGEBUILDERS FAMILY & YOUTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON TYRONNE GRIER B.A. (EXECUTIVE DIRECTOR)
(704) 864-4623
Entity
Organization
Contact information
Practice address
1908 BREVARD RD, ARDEN, NC 28704-8467
(828) 687-9850
(828) 687-9588
Mailing address
PO BOX 3707, GASTONIA, NC 28054-0020
(704) 864-4623
(704) 864-3331
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301908
—
NC
05
—
8301908B
—
NC
05
—
8301908G
—
NC
05
—
8301908H
—
NC
Enumeration date
08/14/2007
Last updated
08/14/2007
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