| Bridge Youth & Family Services | |
|
721 S Quentin Rd Ste 103 Palatine IL 60067-6778 | |
| (847) 485-3091 | |
| (847) 359-7525 |
| Full Name | Bridge Youth & Family Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 721 S Quentin Rd Ste 103, Palatine, Illinois |
| Authorized Official Name and Position | Heather Noel Mlynek (QUALITY ASSURANCE AND COMPLIANCE DI) |
| Authorized Official Contact | 8474853091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Youth & Family Services 721 S Quentin Rd Ste 103 Palatine IL 60067-6778 Ph: (847) 485-3091 | Bridge Youth & Family Services 721 S Quentin Rd Ste 103 Palatine IL 60067-6778 Ph: (847) 485-3091 |
| NPI Number | 1992458616 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Certification Date | 02/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992458616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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