| NPI | 1245557404 |
|---|---|
| Doing Business As | BRIDGEWAY PSYCHIATRIC CENTER PRACTICE MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | MARK CULLEN CEO 337-788-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |