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Organization
BRIDGEWAY, INC
Active
Organization
BRIDGEWAY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NELSON (CEO)
(309) 344-2323
Entity
Organization
Contact information
Practice address
2062 E 1ST ST, GALESBURG, IL 61401-6498
(309) 344-6420
(309) 344-6608
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
08/19/2019
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