| Bridgeway Center, Inc | |
|
333 Lewis St Fort Walton Beach FL 32547-3125 | |
| (850) 833-9206 | |
| (850) 833-3775 |
| Full Name | Bridgeway Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 333 Lewis St, Fort Walton Beach, 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 333 Lewis St Fort Walton Beach FL 32547-3125 Ph: (850) 833-9206 |
| NPI Number | 1568038222 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 06/02/2021 |
| Certification Date | 06/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568038222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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