Organization
BRIDGEWAY RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DIANE ROBERTS M.S. (COD COUNSELOR)
(951) 235-4115
Entity
Organization
Contact information
Practice address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 363-4820
(503) 363-4820
Mailing address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 363-4820
(503) 363-4820
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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