Bridgeway Center, Inc | |
299 W Railroad Ave Crestview FL 32536-4053 | |
(850) 689-7810 | |
(850) 689-7474 |
Full Name | Bridgeway Center, Inc |
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Speciality | Community/behavioral Health |
Location | 299 W Railroad Ave, 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 |
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Bridgeway Center, Inc 137 Hospital Dr Fort Walton Beach FL 32548 Ph: (850) 833-7500 | Bridgeway Center, Inc 299 W Railroad Ave Crestview FL 32536-4053 Ph: (850) 689-7810 |
NPI Number | 1265553564 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 06/02/2021 |
Certification Date | 06/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265553564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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