Bridgewood Recover Ltd | |
2485 Waipua St Paia HI 96779-9749 | |
(508) 951-0310 | |
Not Available |
Full Name | Bridgewood Recover Ltd |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2485 Waipua St, Paia, Hawaii |
Authorized Official Name and Position | Sarina Ponte (CEO) |
Authorized Official Contact | 5089510310 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bridgewood Recover Ltd 2485 Waipua St Paia HI 96779-9749 Ph: (508) 951-0310 | Bridgewood Recover Ltd 2485 Waipua St Paia HI 96779-9749 Ph: (508) 951-0310 |
NPI Number | 1194443903 |
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Provider Enumeration Date | 08/17/2022 |
Last Update Date | 08/17/2022 |
Certification Date | 08/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194443903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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