OrganizationActive
Bridgewell Residential Services, LLC
NPI 1396692448 · Emotionally Disturbed Childrens' Residential Treatment Facility · Goldsboro, NC
Provider details
- NPI number
- 1396692448
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Candra Edwards, Owner, Clinical Director(910) 990-1190
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
2801 Mclain St.
Goldsboro, NC 27534
Phone: (919) 394-6718
Fax: (919) 288-1276
Approximate (ZIP-level) locationGet directions
Mailing address
112 Tiburon Ct
Goldsboro, NC 27534-7085
Other names (DBA / former)
- Doing business as
- Bridgewell Residential Services
Registry dates
- Enumerated
- 2026-03-16
- Last updated
- 2026-03-16
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.