Organization
BRIDGES OF HOPE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILLETT (CEO)
(252) 258-8632
Entity
Organization
Contact information
Practice address
2303 WELLINGTON DR SW STE D, WILSON, NC 27893-8620
(252) 360-4142
(252) 565-0301
Mailing address
2303 WELLINGTON DR SW STE D, WILSON, NC 27893-8620
(252) 360-4142
(252) 565-0301
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
MHL096269
NC
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
MHL098191
NC
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
MHL053078
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303078
—
NC
Enumeration date
09/29/2010
Last updated
11/17/2023
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