# BRIDGE HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174051072
- **Authorized official:** RODNEY ANDRUS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (801) 447-4865

## Contact information

- **Practice address:** 235 S 200 E, FARMINGTON, UT 84025-2320
- **Practice address phone:** (801) 447-4865
- **Practice address fax:** (801) 713-4400
- **Mailing address:** PO BOX 1040, FARMINGTON, UT 84025-1040
- **Mailing address phone:** (801) 447-4865
- **Mailing address fax:** (801) 713-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 39298 | UT | Yes |

## Other

- **Enumeration date:** 05/23/2017
- **Last updated:** 05/23/2017