Organization · NPI-2
Bridges Of Wilmington
Case Management · Wilmington, NC
NPI number1083876049
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1083876049
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridges Of Wilmington
- Organization subpart
- No
- Enumeration date
- Jun 30, 2008
- Certification date
- May 17, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Other names
- Bridges Of Wilmington (Other Name)
Practice location
202 S 5th Ave.C-4
Wilmington, NC 28401
Phone 910-762-1733 · Fax 910-762-1766
Mailing address
202 S 5th Ave.C-4
Wilmington, NC 28401
Phone 910-762-1733 · Fax 910-762-1766
Authorized official
Voni Michelle Goodson-Simpson
Owner/Executive Director
9107621733
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