| NPI | 1255151817 |
|---|---|
| Former Legal Business Name | BRIDGEWAY REHABILITATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | FRED OLMSTED Director Of Billing 848-304-2436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2025-07-07 |