Organization
BRIDGE HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDI PAWASARAT-LOSALIO (EXECUTIVE DIRECTOR)
(808) 322-3305
Entity
Organization
Contact information
Practice address
79-7266 MAMALAHOA HWY STE 10, KEALAKEKUA, HI 96750-7919
(808) 322-3305
(808) 322-0809
Mailing address
PO BOX 2489, KAILUA KONA, HI 96745-2489
(808) 322-3305
(808) 322-0809
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/06/2009
Last updated
08/12/2020
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