Organization · Type 2 NPI

Bridgewell Residential Services, LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Goldsboro, NC

NPI number 1396692448 Active

Practice location

2801 Mclain St.
Goldsboro, NC 27534

Call (919) 394-6718 Map

Fax (919) 288-1276

Mailing address

112 Tiburon Ct
Goldsboro, NC 27534-7085

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1396692448

Bridgewell Residential Services, LLC's National Provider Identifier is 1396692448, issued on Mar 16, 2026. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Goldsboro, NC. The record was last updated on Aug 23, 2026.