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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

Other

Enumeration date
04/28/2010
Last updated
04/28/2010
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