| NPI | 1174185052 |
|---|---|
| Former Legal Business Name | LADAWN BRIDGES |
| Entity Type | Organization |
| Authorized Contact | LADAWN BRIDGES Owner 919-808-6386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2020-06-25 |