Organization · Type 2 NPI
Bridgeway, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · Macomb, IL
NPI number
1760505044
Active
Practice location
1106 Madelyn Ave
Macomb, IL 61455-3317
Fax (309) 833-2199
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 |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 024 (IL) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1760505044
Bridgeway, Inc's National Provider Identifier is 1760505044, issued on Apr 9, 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.