NPI 1093233264 · live from the CMS NPI Registry
A Bridge To Achievement Nc, LLC
Community/Behavioral Health in Winston Salem, NC. National Provider Identifier 1093233264, active.
NPI record
| NPI | 1093233264 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 1420 Plaza Dr, Winston Salem, NC 27103 |
| Practice phone | 336-565-6363 |
| Enumerated | September 7, 2017 |
| Last updated | February 22, 2022 |
| Authorized official | Dana Alley, Ceo |
| Other names | A Bridge To Achievement |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Psychologist | 103T00000X | — |
| Day Training, Developmentally Disabled Services | 251C00000X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.