NPI | 1003044165 |
---|---|
Other Name | BRIDGEWOOD HOUSE |
Entity Type | Organization |
Authorized Contact | CINDY JONES CFO 704-986-1522 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2009-06-29 |
Last Update Date | 2020-12-20 |