| NPI | 1063365237 |
|---|---|
| Former Legal Business Name | BRIDGEWAY REHABILITATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | FRED OLMSTED Director Of Billing 848-304-2436 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2026-02-18 |
| Last Update Date | 2026-02-18 |