Building Bridges Youth Residential Treatment Faciliy, LLC

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

BUILDING BRIDGES YOUTH RESIDENTIAL TREATMENT FACILIY, LLC

Practice address

1670 Rock Pillar Rd
Clayton, NC 27520-7889

Phone

(919) 359-9795

NPI assigned

Apr 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christy Stith ChrispNPI 1922271014

Title

Ceo/Business Owner

Phone

(919) 359-9795

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christy Stith Chrisp

  • Addiction (Substance Use Disorder) Counselor
  • Clayton, NC
  • NPI 1922271014
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1467627414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 ROCK PILLAR RD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207889",
            "telephone_number": "919-359-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 ROCK PILLAR RD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207889",
            "telephone_number": "919-359-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BRIDGES YOUTH RESIDENTIAL TREATMENT FACILIY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "CHRISP",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "STITH",
        "authorized_official_title_or_position": "CEO/BUSINESS OWNER",
        "authorized_official_telephone_number": "919-359-9795"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Building Bridges Adult Residential Treatment Facility, LLC
• Building Bridges Durable Medical Equipment and Supplies, LLC
• Building Bridges Family Care Home 1
• Building Bridges Residential Care Facility, LLC
• Building Bridges Youth & Family Services, LLC
• Julie Carpenter Bullock, MSW, LCSW
• Selam Bullock, MD
• Philip Corey Bulls
• Stephanie Ann Burke, PA-C
• Lauren B Busam, PA-C

• Children's Substance Abuse Rehabilitation Facility in Clayton, NC
• Providers in Clayton, NC by specialty
• Children's Substance Abuse Rehabilitation Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.