Organization · Type 2 NPI

Bridgeway Inc

Mental Health Clinic/Center (Including Community Mental Health Center) · Kewanee, IL

NPI number 1114140621 Active

Practice location

137 E College St
Kewanee, IL 61443-3703

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X020 (IL)
Mental Health Counselor 101YM0800X3709841785020 (IL)
Clinical Social Worker 1041C0700X020 (IL)
Psychiatry Physician 2084P0800XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

8 other providers at this address

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About NPI 1114140621

Bridgeway Inc's National Provider Identifier is 1114140621, issued on Apr 11, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Kewanee, IL. The record was last updated on Jul 21, 2022.