NPI | 1831617802 |
---|---|
Doing Business As | BRIDGEWAY BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | MARK CONOVER Chief Revenue Officer 573-603-1460 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2017-08-30 |
Last Update Date | 2022-07-29 |