| NPI | 1093823817 |
|---|---|
| Other Name | BRIDGEHAVEN MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | RAMONA L JOHNSON President/CEO 502-585-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251V00000X Voluntary or Charitable | |
| 251S00000X (Licence: KY 800159) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-03-10 |