Bridgeway Health Services, LLC

NPI #1265703953 in Eagle, Idaho

Provider Information

NPI Number: 1265703953
Entity Type: Organization
Organization Name: Bridgeway Health Services, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 26, 2012
Last Updated: Jan 26, 2012

Practice Location

Address: 1032 S. BRIDGEWAY PL,
Address 2: STE 110
City: Eagle
State: Idaho
ZIP Code: 83616
Phone: (208) 475-0800

Authorized Official

Name: DR. GRANT BELNAP, MD
Title: OWNER
Phone: (208) 246-0123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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