Bridge of Empowerment,llc
NPI #1659647766 in Maxton, North Carolina
Provider Information
- NPI Number
- 1659647766
- Entity Type
- Organization
- Organization Name
- Bridge of Empowerment,llc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 23, 2012
- Last Updated
- Mar 23, 2012
Practice Location
- Address
- 651 EAST WILMINGTON STREET
- City
- Maxton
- State
- North Carolina
- ZIP Code
- 28364
- Phone
- (910) 318-3946
Authorized Official
- Name
- MISS DEBORAH FAYE INGRAM
- Title
- PRESIDENT
- Phone
- (910) 318-3946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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