Organization · Type 2 NPI
Bridgeway, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · Galesburg, IL
NPI number
1407024284
Active
Practice location
639 Hawthorne Ct
Galesburg, IL 61401-1200
Mailing address
2323 Windish Dr
Galesburg, IL 61401-9780
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 | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1407024284
Bridgeway, Inc's National Provider Identifier is 1407024284, issued on Feb 14, 2008. 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 Apr 12, 2018.