BRIDGEWAY

PONCA CITY, OK
NPI1770921512
Entity TypeOrganization
Authorized ContactMICHAEL JOE HAYES
Case Manager
620-660-5191
Organization Subpart ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: KS  B.S. Psychology)
Enumeration Date2013-06-13
Last Update Date2013-06-24
Business Address
BRIDGEWAY
620 W GRAND AVE
PONCA CITY, OK 74601-5123
Phone number: 580-762-1462
Mailing Address
BRIDGEWAY
PO BOX 883
PONCA CITY, OK 74602-0883
Phone number: