| Bridgeway Center, Inc | |
|
2007 W James Lee Blvd Crestview FL 32536-5400 | |
| (850) 689-7827 | |
| (850) 689-7828 |
| Full Name | Bridgeway Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2007 W James Lee Blvd, Crestview, Florida |
| Authorized Official Name and Position | Bonnie R Barlow (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8508333975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Center, Inc 137 Hospital Dr Ne Fort Walton Beach FL 32548-5015 Ph: (850) 833-3975 | Bridgeway Center, Inc 2007 W James Lee Blvd Crestview FL 32536-5400 Ph: (850) 689-7827 |
| NPI Number | 1023687696 |
|---|---|
| Provider Enumeration Date | 06/18/2021 |
| Last Update Date | 06/18/2021 |
| Certification Date | 06/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023687696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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