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Bridgeway Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Pekin, Illinois
NPI 1346524899

Bridgeway Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Pekin, IL and is specialized in Mental Health (Including Community Mental Health Center). Bridgeway Inc practices in Pekin, IL. The NPI Number for Bridgeway Inc is 1346524899 and holds a License No. 04016 (Illinois).

The current practice location address for Bridgeway Inc is 2079 Edgewater Dr, Pekin, IL and can be reached out via phone at 309-382-2006 and via fax at 309-382-2007. You can also correspond with Bridgeway Inc through the mailing address at 2079 EDGEWATER DR, PEKIN, IL - 61554-7833 (mailing address contact number: 309-382-2006).

Location: 2079 Edgewater Dr, Pekin, IL, 61554-7833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346524899
Provider Name
Bridgeway Inc
Credential
Provider Entity Type
Organization
Address
2079 Edgewater Dr, Pekin, IL, 61554-7833
Phone Number
309-382-2006
Fax Number
309-382-2007
Provider Enumeration Date
10/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AC 217/557-9285 01 IL MEDICARE CERTIFICATION
04016 05 IL
institution
Provider Business Practice Location Address Details
Address
2079 Edgewater Dr
City
Pekin
State
Illinois
Zip
61554
Phone Number
309-382-2006
Fax Number
309-382-2007
person
Provider Business Mailing Address Details
Address
2079 Edgewater Dr
City
Pekin
State
Illinois
Zip
61554
Phone Number
309-382-2006
Fax Number
309-382-2007
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
04016 (Illinois)
Definition
Definition to come...
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