| NPI | 1215707872 |
|---|---|
| Doing Business As | BRIDGEWAY LLC |
| Entity Type | Organization |
| Authorized Contact | HASSAN SHARIFF OSMAN Owner 507-405-6608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |