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Organization
BRIDGING THE TYS TO JORDAN INC
Active
Organization
BRIDGING THE TYS TO JORDAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON EVERETT (EXECUTIVE DIRECTOR)
(773) 425-8159
Entity
Organization
Contact information
Practice address
5500 S INDIANA AVE BSMT, CHICAGO, IL 60637-1011
(773) 425-8159
(773) 488-9462
Mailing address
5500 S INDIANA AVE BSMT, CHICAGO, IL 60637-1011
(773) 425-8159
(773) 488-9462
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
A-3249-0001
IL
251S00000X
Community/Behavioral Health Agency
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/05/2008
Last updated
10/22/2025
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