| NPI | 1437608312 |
|---|---|
| Doing Business As | BRIDGEWAY BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARILYN NOLAN CEO 417-869-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |