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Organization

BRIDGEWAY RECOVERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CALVITT J HUXFORD (CEO)
(229) 563-2412
Entity
Organization

Contact information

Practice address
112 E MOORE ST, VALDOSTA, GA 31602-2911
(229) 469-7518
Mailing address
112 E MOORE ST, VALDOSTA, GA 31602-2911
(229) 469-7518

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
05/18/2020
Last updated
02/18/2025
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