Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1154276418 |
| LBN Legal business name | BRIDGECREST BEHAVIORAL HEALTH, LLC |
| Authorized official | ANDREW ROLETTI - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/02/2026 |
| Last updated | 04/03/2026 - About 2 months ago |
| Identifiers | n/a |
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