Whalio Doctors

NPI 1376354092

Bridgeway 360 LLC

Organisation Substance Use Disorder Rehabilitation Hospital Unit Los Angeles, CA

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
Hospital Units Taxonomy 276400000X
Case Management Agency
Agencies Taxonomy 251B00000X
Voluntary or Charitable Agency
Agencies Taxonomy 251V00000X

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.