Bridgeway Psychiatric Center, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Lake Charles, LA. Organization (NPI-2).
NPI number1366433278
StatusActive
Last updated in NPPESApr 30, 2010
Details
- NPI
- 1366433278
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridgeway Psychiatric Center, INC.
- Organization subpart
- No
- Enumeration date
- Oct 31, 2005
- Last updated
- Apr 30, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
3451 5th AveSuite A
Lake Charles, LA 70607-2127
Phone 337-562-0211 · Fax 337-562-0212
Mailing address
3451 5th AveSuite A
Lake Charles, LA 70607-2127
Phone 337-562-0211 · Fax 337-562-0212
Authorized official
Anne Dill
Regional Director
3377858003
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