NPI 1033398425

Phoenix Bridge Community Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Burlington, NC

Practice location

Address: 5450 Patillo Church Rd, Burlington, NC 27217-8553
Phone: (336) 222-8522
Fax: (336) 222-8533
Mailing address: 909a South Main Street, Burlington, NC 27215

Authorised official

Name: Wendy Renee Jones
Title: Program Director
Phone: (336) 222-8522

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-001-120 (NC)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in North Carolina →

Registry record

NPI: 1033398425
Entity type: Organization
NPI issued: 1 Nov 2007
Record last updated: 1 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.