NPI | 1861178907 |
---|---|
Other Name | BRIDGEWAYS |
Entity Type | Organization |
Authorized Contact | TAYLOR THANH TRAN Compliance Officer 760-842-6265 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2023-06-23 |
Last Update Date | 2023-11-30 |