| NPI | 1073885141 |
|---|---|
| Doing Business As | BRIDGESTONE |
| Entity Type | Organization |
| Authorized Contact | ROBERT C BECKETT Executive Director 541-858-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |