Organization
BRIDGEWAY,INC
Active
Other names
Bridgeway-Unbar
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE J KRAFCIK CPA (CFO)
(216) 688-4130
Entity
Organization
Contact information
Practice address
8301 DETROIT AVE, CLEVELAND, OH 44102-1805
(216) 281-2660
(216) 281-5183
Mailing address
8301 DETROIT AVE, CLEVELAND, OH 44102-1805
(216) 281-2660
(216) 281-5183
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0149
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01090
UPI
OH
05
—
0959520
—
OH
Enumeration date
12/19/2006
Last updated
08/22/2020
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