| Bridge To Success | |
|
107 Wade St Ste C Jamestown NC 27282-9567 | |
| (704) 433-5175 | |
| Not Available |
| Full Name | Bridge To Success |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 Wade St Ste C, Jamestown, North Carolina |
| Authorized Official Name and Position | Kimberly Davis (CREDENTIALING SPECIALISTS) |
| Authorized Official Contact | 9123734385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge To Success 345 Bonanza Dr Salisbury NC 28144-9422 Ph: (704) 433-5175 | Bridge To Success 107 Wade St Ste C Jamestown NC 27282-9567 Ph: (704) 433-5175 |
| NPI Number | 1447998737 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447998737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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