Organization · Type 2 NPI
Bridgeway, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · Galesburg, IL
NPI number
1710100219
Active
Practice location
1235 W Carl Sandburg Dr
Galesburg, IL 61401-7014
Fax (309) 344-7678
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 | 026 (IL) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1710100219
Bridgeway, Inc's National Provider Identifier is 1710100219, 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 Galesburg, IL. The record was last updated on Jul 21, 2022.