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Phoenix Bridge Community Services
Emotionally Disturbed Childrens' Residential Treatment Facility in Burlington, North Carolina
NPI 1033398425

Phoenix Bridge Community Services is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Burlington, NC. Phoenix Bridge Community Services practices in Burlington, NC. The NPI Number for Phoenix Bridge Community Services is 1033398425 and holds a License No. MHL-001-120 (North Carolina).

The current practice location address for Phoenix Bridge Community Services is 5450 Patillo Church Rd, Burlington, NC and can be reached out via phone at 336-222-8522 and via fax at 336-222-8533.

Location: 5450 Patillo Church Rd, Burlington, NC, 27215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033398425
Provider Name
Phoenix Bridge Community Services
Credential
Provider Entity Type
Organization
Address
5450 Patillo Church Rd, Burlington, NC, 27215
Phone Number
336-222-8522
Fax Number
336-222-8533
Provider Enumeration Date
11/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603577 05 NC
institution
Provider Business Practice Location Address Details
Address
5450 Patillo Church Rd
City
Burlington
State
North Carolina
Zip
27217-8553
Phone Number
336-222-8522
Fax Number
336-222-8533
person
Provider Business Mailing Address Details
Address
5450 Patillo Church Rd
City
Burlington
State
North Carolina
Zip
27217-8553
Phone Number
336-222-8522
Fax Number
336-222-8533
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-001-120 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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