| NPI | 1396390845 |
|---|---|
| Doing Business As | BRIDGEPORT BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | PENNY L TANNER Nurse Practitioner 253-581-6106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |