Organization
BRIDGES TREATMENT & RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DYLAN ALAN BRASHEAR (ADMINISTRATOR)
(360) 393-4218
Entity
Organization
Contact information
Practice address
6046 PORTAL WAY SUITE104, FERNDALE, WA 98248-7829
(360) 393-4218
Mailing address
6046 PORTAL WAY SUITE104, FERNDALE, WA 98248
(360) 393-4218
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37139900
WA
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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