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)
(573) 603-1460
Entity
Organization
Contact information
Practice address
1570 S MAIN ST, SAINT CHARLES, MO 63303-4149
(636) 757-2200
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
324500000X
Substance Abuse Rehabilitation Facility
Primary
1290-7765
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866202807
—
MO
Enumeration date
03/27/2007
Last updated
06/07/2022
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