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Organization

BRIDGEWAY FAMILY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEIDI GRAY (BUSINESS OWNER)
(702) 630-5965
Entity
Organization

Contact information

Practice address
11186 FORT BOWIE ST, LAS VEGAS, NV 89179-1223
(702) 630-5965
Mailing address
11186 FORT BOWIE ST, LAS VEGAS, NV 89179-1223
(702) 630-5965

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/17/2020
Last updated
06/17/2020
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