Provider Demographics
NPI:1790810604
Name:BRIDGEWAY TREATMENT SERVICES INC.
Entity Type:Organization
Organization Name:BRIDGEWAY TREATMENT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HIPP
Authorized Official - Suffix:
Authorized Official - Credentials:CDP, NCAC
Authorized Official - Phone:425-283-5315
Mailing Address - Street 1:410 BELLEVUE WAY SE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6672
Mailing Address - Country:US
Mailing Address - Phone:425-283-5315
Mailing Address - Fax:425-454-9495
Practice Address - Street 1:410 BELLEVUE WAY SE
Practice Address - Street 2:SUITE 2
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6672
Practice Address - Country:US
Practice Address - Phone:425-283-5315
Practice Address - Fax:425-454-9495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty