| 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 |