institution
Bridging The Gap With Life Skills
Emotionally Disturbed Childrens' Residential Treatment Facility in Raleigh, North Carolina
NPI 1659412997

Bridging The Gap With Life Skills is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Raleigh, NC. Bridging The Gap With Life Skills practices in Raleigh, NC. The NPI Number for Bridging The Gap With Life Skills is 1659412997 and holds a License No. MHL092571 (North Carolina).

The current practice location address for Bridging The Gap With Life Skills is 2507 Blackwolf Run Ln, Raleigh, NC and can be reached out via phone at 919-250-9546 and via fax at 919-250-7569.

Location: 2507 Blackwolf Run Ln, Raleigh, NC, 27601-1047
institution
Provider Profile Details
NPI Number
1659412997
Provider Name
Bridging The Gap With Life Skills
Credential
Provider Entity Type
Organization
Address
2507 Blackwolf Run Ln, Raleigh, NC, 27601-1047
Phone Number
919-250-9546
Fax Number
919-250-7569
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6604129 05 NC
institution
Provider Business Practice Location Address Details
Address
2507 Blackwolf Run Ln
City
State
Zip
27604-5425
Phone Number
919-250-9546
Fax Number
919-250-7569
person
Provider Business Mailing Address Details
Address
2507 Blackwolf Run Ln
City
State
Zip
27604-5425
Phone Number
919-250-9546
Fax Number
919-250-7569
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
MHL092571 (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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