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)
(573) 603-1460
Entity
Organization
Contact information
Practice address
1570 S MAIN ST, SAINT CHARLES, MO 63303-4149
(636) 224-1000
(636) 669-1010
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
06/07/2022
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