Healthcare Provider Details

I. General information

NPI: 1700720489
Provider Name (Legal Business Name): BRIDGEVIEW BEHAVIORAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 OAKWOOD ST
HIGH POINT NC
27262-4842
US

IV. Provider business mailing address

210 OAKWOOD ST
HIGH POINT NC
27262-4842
US

V. Phone/Fax

Practice location:
  • Phone: 919-451-1618
  • Fax:
Mailing address:
  • Phone: 919-451-1618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHISOM ATUFUNWA
Title or Position: OWNER
Credential: PHARMD
Phone: 919-451-1618