NPI 1063282689
Bridge 2 Success Group Home, INC
Practice location
- Address
- 902 Kroll Ln, High Point, NC 27260-5851
- Phone
- (336) 307-3845
- Fax
- (336) 307-4376
Authorised official
- Name
- Lekeysha Denise Ayenumelo
- Title
- Executive Director
- Phone
- (336) 307-3845
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1063282689
- Entity type
- Organization
- NPI issued
- 4 Jan 2024
- Record last updated
- 4 Jan 2024
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.