Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phoenix Bridge Community Support

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1508045998

Phoenix Bridge Community Support is an Emotionally Disturbed Childrens' Residential Treatment Facility in Burlington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
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Practice location Address checks out

814 Bradley St
Burlington, NC 27215-6806
Phone: (336) 222-8522
Fax: (336) 222-8533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL-001-121 (NC)

Record details

NPI number1508045998
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhoenix Bridge Group Home, Inc
Authorized official Wendy Jones — Program Director · (336) 222-8522
NPI enumeratedNovember 1, 2007
Last updated in NPPESNovember 1, 2007
Mailing address909 A South Main Street, Burlington, NC 27215-5756

Other providers in Burlington