Organization · Type 2 NPI
Bridgeway, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · Galesburg, IL
NPI number
1154545879
Active
Practice location
1089 Hawkinson Ave
Galesburg, IL 61401-6900
Fax (309) 341-4770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Mental Illness Intermediate Care Facility | 310500000X | -031 (IL) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1154545879
Bridgeway, Inc's National Provider Identifier is 1154545879, issued on Apr 12, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Galesburg, IL. The record was last updated on Jul 21, 2022.