BRIDGES AT BRIGHTWELL
NPI 1740384957
Residential Treatment Facility, Emotionally Disturbed Children in Madison Heights, VA
- Organization
- Residential Treatment Facility, Emotiona...
About BRIDGES AT BRIGHTWELL
This page provides the complete NPI Profile along with additional information for Bridges At Brightwell, a provider established in Madison Heights, Virginia operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1740384957 assigned on September 2006. The practitioner's primary taxonomy code is 322D00000X with license number 05214002 (VA). The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Bridges At Brightwell. The authorized official of this NPI record is Lewis C Addison (Srvp/cfo)
- NPI
- 1740384957 Verify this NPI
- Provider Legal Name
- CENTRA HEALTH INC
- Other Organization Name
- BRIDGES AT BRIGHTWELL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1410 KENTMOOR FARM RD MADISON HEIGHTS, VA 24572
- Location Phone
- (434) 947-3777
- Location Fax
- (434) 947-4763
- Mailing Address
- PO BOX 2496 LYNCHBURG, VI 24505
- Mailing Phone
- (434) 947-3777
- Mailing Fax
- (434) 947-4763
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-08-2006
- Last Update Date
- 01-10-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- 05214002
- License State
- VA
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740384957, enumerated as an "organization" on September 08, 2006.
The provider is located at 1410 KENTMOOR FARM RD MADISON HEIGHTS, VA 24572 and the phone number is (434) 947-3777.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
