| NPI | 1023569910 |
|---|---|
| Doing Business As | 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 |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2022-06-07 |