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 |