Healthcare Provider Details

I. General information

NPI: 1699683714
Provider Name (Legal Business Name): BRIDGEWAY COMMUNITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4435 COLUMBINE ST
DENVER CO
80216-3928
US

IV. Provider business mailing address

4435 COLUMBINE ST
DENVER CO
80216-3928
US

V. Phone/Fax

Practice location:
  • Phone: 720-280-4026
  • Fax:
Mailing address:
  • Phone: 720-280-4026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ADENG ROL DENG
Title or Position: MANAGING MEMBER
Credential:
Phone: 720-280-4026