| NPI | 1063628261 |
|---|---|
| Doing Business As | BRIDGEWAY MOBILE CRISIS RESPONSE SERVICE |
| Entity Type | Organization |
| Authorized Contact | RICK GARCIA Service Director 706-568-5118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2018-06-21 |