| NPI | 1023136298 |
|---|---|
| Former Legal Business Name | BRIDGEWAY BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARK CONOVER Chief Revenue Officer 573-603-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MO 1290-7765) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-06-07 |