Bridging The Gap With Life Skills

LBN: Bridging The Gap With Life Skills
Bridging The Gap With Life Skills is an health care organization with primary practice located at 2507 Blackwolf Run Ln , Raleigh NC 27604-5425. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Bridging The Gap With Life Skills can be contacted via phone (919) 250-9546, or through Worthington, Tammy via phone (919) 833-2544.

Contact Information

Primary practice address
2507 Blackwolf Run Ln Raleigh NC 27604-5425
Phone: (919) 250-9546
Fax: (919) 250-7569
Website:
Map and Directions
Authorized official contact:
Name: Worthington, Tammy
Phone: (919) 833-2544

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL092571 North Carolina

Profile Details

NPI number 1659412997
LBN Legal business name Bridging The Gap With Life Skills
DBA Doing business as
Authorized official Worthington, Tammy
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 9th, 2007
Last updated Jul 20th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659412997 NPPES
North Carolina MEDICAID 6604129

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