BRIDGEWAY HEALTH SERVICES, LLC is a mental health (including community mental health center) clinic center in Eagle, ID. BRIDGEWAY HEALTH SERVICES, LLC NPI is 1265703953. The provider is registered as an organization entity type.
The provider's business location address is:
1032 S. BRIDGEWAY PL,
STE 110
EAGLE, ID
ZIP 83616
Phone: (208) 475-0800
Fax: (208) 639-0901
The provider's authorized official is Grant Belnap .
The authorized official title is Owner and has the following contact phone number (208) 246-0123.
The CLIA number assigned to this NPI record is 13D2013844 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/26/2012 and was last updated on 1/26/2012.