| NPI | 1730628157 |
|---|---|
| Former Legal Business Name | BRIDGES FAMILY LIFE CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | JANELLE A JOHNSON CEO 919-813-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1799) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |