| 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 |