Organization · NPI-2
Bridges Of Wilmington
Case Management · Wilmington, NC
NPI number1376307686
StatusActive
Last updated in NPPESMar 30, 2024
Details
- NPI
- 1376307686
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridges Of Wilmington
- Organization subpart
- No
- Enumeration date
- Feb 7, 2024
- Certification date
- Mar 30, 2024
- Last updated
- Mar 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Other names
- Bridges (Doing Business As)
Practice location
202 S 5th Ave Unit C-4Wilmington, NC 28401-5494
Phone 910-762-1733 · Fax 910-762-1766
Mailing address
202 S 5th Ave Unit C-4Wilmington, NC 28401-5494
Phone 910-685-1233 · Fax 910-762-1766
Authorized official
Voni M Goodson-Simpson
Owner
9107621733
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