| NPI | 1508310632 |
|---|---|
| Doing Business As | BRIDGEWAY BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARK CONOVER Chief Revenue Officer 660-665-1962 |
| 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 | 2016-08-05 |
| Last Update Date | 2022-07-29 |