Organization
BRIDGEWAY BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MORRISON (PRESIDENT/CEO)
(636) 757-2200
Entity
Organization
Contact information
Practice address
5209 W WENDOVER AVE, HIGH POINT, NC 27265-9177
(336) 845-3988
Mailing address
1570 S MAIN ST, SAINT CHARLES, MO 63303-4149
(636) 757-2200
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911903
—
NC
Enumeration date
02/03/2010
Last updated
02/03/2010
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