| NPI | 1881299212 |
|---|---|
| Former Legal Business Name | BLISSFUL BRIDGE TO WELLNESS |
| Entity Type | Organization |
| Authorized Contact | AUDREY DICKEY CEO 910-787-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |