Organization · Type 2 NPI

Phoenix Bridge Community Support

Emotionally Disturbed Childrens' Residential Treatment Facility · Burlington, NC

NPI number 1508045998 Active

Practice location

814 Bradley St
Burlington, NC 27215-6806

Call (336) 222-8522 Map

Fax (336) 222-8533

Mailing address

909 A South Main Street
Burlington, NC 27215-5756

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL-001-121 (NC)

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 1508045998

Phoenix Bridge Community Support's National Provider Identifier is 1508045998, issued on Nov 1, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Burlington, NC. The record was last updated on Nov 1, 2007.