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Organization
PREFERRED FAMILY HEALTHCARE, INC.
Active
Organization
PREFERRED FAMILY HEALTHCARE, INC.
Active
Other names
Bridgeway Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CONOVER (CHIEF REVENUE OFFICER)
(660) 665-1962
Entity
Organization
Contact information
Practice address
2120 PARKWAY DR, SAINT PETERS, MO 63376
(636) 224-1200
(636) 925-1443
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
08/05/2016
Last updated
07/29/2022
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