Bridgeway Health Services, LLC

NPI #1073811097 in Eagle, Idaho

Provider Information

NPI Number
1073811097
Entity Type
Organization
Organization Name
Bridgeway Health Services, LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Mar 1, 2011
Last Updated
Mar 7, 2012

Practice Location

Address
1032 S BRIDGE WAY PL
City
Eagle
State
Idaho
ZIP Code
83616-6099
Phone
(208) 246-0123

Authorized Official

Name
DR. GRANT BELNAP, M.D.
Title
OWNER
Phone
(208) 246-0123

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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