Bridges Habilitation Services, Inc.

NPI #1710392220 in Gillette, Wyoming

Provider Information

NPI Number: 1710392220
Entity Type: Organization
Organization Name: Bridges Habilitation Services, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 23, 2014
Last Updated: Jun 23, 2014

Practice Location

Address: 400 S KENDRICK AVE
Address 2: SUITE 201D
City: Gillette
State: Wyoming
ZIP Code: 82716-3848
Phone: (307) 685-7105

Authorized Official

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

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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