NPI 1376354092
Bridgeway 360 LLC
Practice location
- Address
- 3111 Los Feliz Blvd, Los Angeles, CA 90039-1519
- Phone
- (347) 791-5955
- Mailing address
- 305 Legion St STE 200, Brooklyn, NY 11212-4036
Authorised official
- Name
- Rayma N Garraway-Amadi
- Title
- Ceo
- Phone
- (347) 791-5595
Registered specialties (3)
Substance Use Disorder Rehabilitation Hospital Unit
Primary
Case Management Agency
Voluntary or Charitable Agency
Registry record
- NPI
- 1376354092
- Entity type
- Organization
- NPI issued
- 14 Jan 2025
- Record last updated
- 31 Jul 2025
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.