Phoenix Bridge Community Services
NPI #1033398425 in Burlington, North Carolina
Provider Information
- NPI Number
- 1033398425
- Entity Type
- Organization
- Organization Name
- Phoenix Bridge Community Services
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PHOENIX BRIDGE GROUP HOMES, INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Nov 1, 2007
- Last Updated
- Nov 1, 2007
Practice Location
- Address
- 5450 PATILLO CHURCH RD
- City
- Burlington
- State
- North Carolina
- ZIP Code
- 27217-8553
- Phone
- (336) 222-8522
Authorized Official
- Name
- MISS WENDY RENEE JONES
- Title
- PROGRAM DIRECTOR
- Phone
- (336) 222-8522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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| MR. Vince Marley |
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