219 BRIDGE
NPI 1003197468
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Erwin, NC
About 219 Bridge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
219 BRIDGE (NPI 1003197468) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Erwin, North Carolina and active in the NPI registry since August 2011. The organization lists Jennifer D Lozano, Director Of Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Other Names 1
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003197468, enumerated as an "organization" on August 30, 2011.
The provider is located at 300 W J ST ERWIN, NC 28339 and the phone number is (919) 230-9034.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.