Organization · NPI-2
Bridgeway Center, INC
Community/Behavioral Health · Crestview, FL
NPI number1265553564
StatusActive
Last updated in NPPESJun 2, 2021
Details
- NPI
- 1265553564
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridgeway Center, INC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2007
- Certification date
- Jun 2, 2021
- Last updated
- Jun 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
299 W Railroad AveCrestview, FL 32536-4053
Phone 850-689-7810 · Fax 850-689-7474
Mailing address
137 Hospital DrFort Walton Beach, FL 32548
Phone 850-833-7500 · Fax 850-833-7528
Authorized official
Bonnie R Barlow
Chief Executive Officer
8508333975
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