Organization
BRIDGEWAY BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENYA THOMAS (CREDENTIALING SPECIALIST)
(908) 418-2379
Entity
Organization
Contact information
Practice address
1465 ROUTE 31 S, ANNANDALE, NJ 08801-3129
(908) 894-5311
Mailing address
373 CLERMONT TER, UNION, NJ 07083-8073
(908) 355-7886
(908) 248-9376
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
204010248
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265471
—
NJ
Enumeration date
08/08/2011
Last updated
03/04/2025
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