Whalio Doctors

NPI 1194295089

Freedom Bridge to Recovery LLC

Organisation Substance Abuse Rehabilitation Facility Bowling Green, KY

Practice location

Address
1307 Magnolia St, Bowling Green, KY 42104-3050
Phone
(270) 791-9943
Fax
(270) 904-2377

Authorised official

Name
Stacey Denise Hendershot
Title
Administrator
Phone
(270) 791-9943

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X

Registry record

NPI
1194295089
Entity type
Organization
NPI issued
4 Dec 2018
Record last updated
13 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.