Organization
BRIDGES HABILITATION SERVICES INC.
Active
Organization
BRIDGES HABILITATION SERVICES INC.
Active
Other names
Bridges
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M. CANEN (CEO)
(307) 789-0664
Entity
Organization
Contact information
Practice address
100 BEAR RIVER DR, EVANSTON, WY 82930-2804
(307) 789-0664
(307) 789-1902
Mailing address
PO BOX 1642, EVANSTON, WY 82931-1642
(307) 789-0664
(307) 789-1902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
WY
163W00000X
Registered Nurse
—
WY
251B00000X
Case Management Agency
—
WY
251C00000X
Developmentally Disabled Services Day Training Agency
—
WY
251J00000X
Nursing Care Agency
—
WY
261QD1600X
Developmental Disabilities Clinic/Center
—
WY
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
WY
332900000X
Non-Pharmacy Dispensing Site
Primary
—
WY
385H00000X
Respite Care
—
WY
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
WY
Other
Enumeration date
11/21/2006
Last updated
09/11/2025
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