Bridges To A New Day,nfp | |
1135 E 9th St Lockport IL 60441-3219 | |
(815) 838-2690 | |
(815) 838-2692 |
Full Name | Bridges To A New Day,nfp |
---|---|
Speciality | Community/behavioral Health |
Location | 1135 E 9th St, Lockport, Illinois |
Authorized Official Name and Position | Carolyn S. Khan (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8158382690 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bridges To A New Day,nfp 1135 E 9th St Lockport IL 60441-3219 Ph: (815) 838-2690 | Bridges To A New Day,nfp 1135 E 9th St Lockport IL 60441-3219 Ph: (815) 838-2690 |
NPI Number | 1851516488 |
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Provider Enumeration Date | 04/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851516488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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