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Organization
BRIDGEWAY PSYCHIATRIC CENTER, INC.
Active
Organization
BRIDGEWAY PSYCHIATRIC CENTER, INC.
Active
Other names
Bridgeway Psychiatric Center Practice Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CULLEN (CEO)
(337) 788-3330
Entity
Organization
Contact information
Practice address
3451 5TH AVE, LAKE CHARLES, LA 70607-2127
(337) 562-0211
(337) 562-0212
Mailing address
PO BOX 428, CROWLEY, LA 70527-0428
(337) 785-8003
(337) 785-8045
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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