Organization · NPI-2

A Bridge To Achievement Nc, LLC

Community/Behavioral Health · Winston Salem, NC

NPI number1093233264
StatusActive
Last updated in NPPESFeb 22, 2022

Details

NPI
1093233264
Entity type
Organization (NPI-2)
Legal business name
A Bridge To Achievement Nc, LLC
Organization subpart
No
Enumeration date
Sep 7, 2017
Certification date
Feb 22, 2022
Last updated
Feb 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
103K00000X Behavior Analyst––
103T00000X Psychologist––
251C00000X Day Training, Developmentally Disabled Services––

Other names

  • A Bridge To Achievement (Doing Business As)

Practice location

1420 Plaza Dr
Winston Salem, NC 27103-1470

Phone 336-565-6363

Mailing address

1420 Plaza Dr
Winston Salem, NC 27103-1470

Phone 336-565-6363

Authorized official

Dana Mayman Alley
Ceo
3365656363

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