Bridges Group Home, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-078-169 Issued in NC

Legal business name

BRIDGES GROUP HOME, INC.

Practice address

1274 NC Highway 41 S
Lumberton, NC 28358-0215

Phone

(910) 785-2667

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Joan Young

Title

Owner/QP

Phone

(910) 785-2367

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1972797272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 NC HIGHWAY 41 S",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283580000",
            "telephone_number": "910-785-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 NC HIGHWAY 41 S",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283580215",
            "telephone_number": "910-785-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER/QP",
        "authorized_official_telephone_number": "910-785-2367",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-078-169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603908",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Cook Brayboy, D.C.
• Breeches Buoy Addiction Medicine Services
• Eric Adam Breitbart, MD
• Danasia Brewer
• Katrina L. Brewington, SPEECH LANGUAGE PATH
• Emily Ames Briley, MS SLP
• John Brisson, PROGRAM COORDINATOR
• Alan Craig Britt, MA, LPCA
• Alice Janine Britt, LCSW
• Arlene D. Britt, FNP

• Emotionally Disturbed Childrens' Residential Treatment Facility in Lumberton, NC
• Providers in Lumberton, 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 Aug 29, 2007; 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.