Organization · Type 2 NPI

Bridging the Gap With Life Skills

Emotionally Disturbed Childrens' Residential Treatment Facility · Raleigh, NC

NPI number 1659412997 Active

Practice location

2507 Blackwolf Run Ln
Raleigh, NC 27604-5425

Fax (919) 250-7569

Mailing address

204 N Person St
Raleigh, NC 27601-1047

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL092571 (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 1659412997

Bridging the Gap With Life Skills's National Provider Identifier is 1659412997, issued on Feb 9, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 20, 2007.