institution
Phoenix Bridge Community Support
Emotionally Disturbed Childrens' Residential Treatment Facility in Burlington, North Carolina
NPI 1508045998

Phoenix Bridge Community Support is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Burlington, NC. Phoenix Bridge Community Support practices in Burlington, NC. The NPI Number for Phoenix Bridge Community Support is 1508045998 and holds a License No. MHL-001-121 (North Carolina).

The current practice location address for Phoenix Bridge Community Support is 814 Bradley St, Burlington, NC and can be reached out via phone at 336-222-8522 and via fax at 336-222-8533.

Location: 814 Bradley St, Burlington, NC, 27215-5756
institution
Provider Profile Details
NPI Number
1508045998
Provider Name
Phoenix Bridge Community Support
Credential
Provider Entity Type
Organization
Address
814 Bradley St, Burlington, NC, 27215-5756
Phone Number
336-222-8522
Fax Number
336-222-8533
Provider Enumeration Date
11/01/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6603578 05 NC
institution
Provider Business Practice Location Address Details
Address
814 Bradley St
City
State
Zip
27215-6806
Phone Number
336-222-8522
Fax Number
336-222-8533
person
Provider Business Mailing Address Details
Address
814 Bradley St
City
State
Zip
27215-6806
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
License No.
MHL-001-121 (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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