| Bridgeway Inc | |
|
2323 Windish Dr Galesburg IL 61401-9780 | |
| (309) 344-4250 | |
| (309) 344-4368 |
| Full Name | Bridgeway Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2323 Windish Dr, Galesburg, Illinois |
| Authorized Official Name and Position | Kristy Lee Rushing (BENEFIT SPECIALIST) |
| Authorized Official Contact | 3093444250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Inc 2323 Windish Dr Galesburg IL 61401-9780 Ph: (309) 344-4250 | Bridgeway Inc 2323 Windish Dr Galesburg IL 61401-9780 Ph: (309) 344-4250 |
| NPI Number | 1629319389 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 03/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629319389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 149015718 (Illinois) | Primary |
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