NPI | 1063282689 |
---|---|
Other Name | BRIDGE 2 SUCCESS GROUP HOME |
Entity Type | Organization |
Authorized Contact | LEKEYSHA DENISE AYENUMELO Executive Director 336-307-3845 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2024-01-04 |
Last Update Date | 2024-01-04 |