Organization · NPI-2

Bridges Family Support

Clinic/Center, Mental Health (Including Community Mental Health Center) · Gastonia, NC

NPI number1730964321
StatusActive
Last updated in NPPESSep 18, 2023

Details

NPI
1730964321
Entity type
Organization (NPI-2)
Legal business name
Bridges Family Support
Organization subpart
No
Enumeration date
Aug 30, 2023
Certification date
Sep 18, 2023
Last updated
Sep 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
251S00000X Community/Behavioral Health––
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children––

Practice location

2922 Audrey Dr
Gastonia, NC 28054-7268

Phone 704-904-2236

Mailing address

3121 Strong Box Ln
Gastonia, NC 28052-6190

Phone 704-349-3980

Authorized official

Tiffani Squires Singleton
Owner/Member
7049042236

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Gastonia, NC