Organization · Type 2 NPI
Bridgeway, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · Macomb, IL
NPI number
1124241625
Active
Practice location
301 W Calhoun St
Macomb, IL 61455-2154
Mailing address
900 S Deer Rd
Macomb, IL 61455-2639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 022 (IL) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1124241625
Bridgeway, Inc's National Provider Identifier is 1124241625, 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 Macomb, IL. The record was last updated on Jul 21, 2022.