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
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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