| NPI | 1013515451 |
|---|---|
| Former Legal Business Name | BRIDGEWATER TMS LLC |
| Entity Type | Organization |
| Authorized Contact | BRYAN VYVERBERG Owner 228-277-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2023-04-25 |