Bridges Habilitation Services, Inc.

NPI #1699299313 in Evanston, Wyoming

Provider Information

NPI Number: 1699299313
Entity Type: Organization
Organization Name: Bridges Habilitation Services, Inc.
Primary Specialty: Specialist
Enumeration Date: Aug 3, 2017
Last Updated: Aug 3, 2017

Practice Location

Address: 1425 HIGHWAY 150 S STE 2
City: Evanston
State: Wyoming
ZIP Code: 82930-5377
Phone: (307) 789-0664

Authorized Official

Name: DAVID M CANEN
Title: CEO
Phone: (307) 789-0664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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