Organization · Type 2 NPI
Bridgeway Health Services, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Eagle, ID
NPI number
1265703953
Active
Practice location
1032 S. Bridgeway Pl,, Ste 110
Eagle, ID 83616
Fax (208) 639-0901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | M7357 (ID) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1265703953
Bridgeway Health Services, LLC's National Provider Identifier is 1265703953, issued on Jan 26, 2012. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Eagle, ID. The record was last updated on Jan 26, 2012.