Bridging to Success

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-080-139 Issued in NC

Legal business name

BRIDGING TO SUCCESS

Practice address

223 West 12TH
Salisbury, NC 28144-3507

Phone

(704) 637-7562

Fax

(704) 636-0075

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Philomena Chika Duru, BSN, MSN

Title

Executive Director

Phone

(701) 281-9281

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bridging To Success Former legal business name

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1740340421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BONANZA DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281449422",
            "telephone_number": "704-637-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WEST 12TH",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281443507",
            "telephone_number": "704-637-7562",
            "fax_number": "704-636-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING TO SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "DURU",
        "authorized_official_first_name": "PHILOMENA",
        "authorized_official_middle_name": "CHIKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-281-9281",
        "authorized_official_credential": "BSN, MSN"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-080-139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604266",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridging To Success",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bream Medical
• John Bream, M.D.
• De Anna Lee Breitzman, RN
• Jean-Mary Breton, MD
• Brett R. Henson, DDS, PA
• Zackry Scott Briggs, PA-C
• Bright Harbor Solutions LLC
• Bright Smile Dental
• Brighter Days Counseling Services
• Mia Graham Brindle, PA-C

• Emotionally Disturbed Childrens' Residential Treatment Facility in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.