# BRIDGEWAY CENTER, INC

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

## Provider details

- **NPI number:** 1952559148
- **Authorized official:** BONNIE R BARLOW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (850) 833-3975

## Contact information

- **Practice address:** 137 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5063
- **Practice address phone:** (850) 833-7547
- **Practice address fax:** (850) 833-7528
- **Mailing address:** 137 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5063
- **Mailing address phone:** (850) 833-7547
- **Mailing address fax:** (850) 833-7528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 0146AD8085-01 | FL | Yes |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 06/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 060398802 | — | FL |