Organization
THE THRESHOLDS
Active
Parent organization
THE THRESHOLDS
Other names
Bridge Southwest, Bridge Southwest
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE THRESHOLDS
Authorized official
MARCELLA KLAUER (EXECUTIVE ASSISTANT)
(773) 572-5480
Entity
Organization
Contact information
Practice address
3638 S KEDZIE AVE, CHICAGO, IL 60632-2727
(773) 572-5500
(773) 537-3488
Mailing address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 572-5500
(773) 537-3488
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04133
—
IL
Enumeration date
08/18/2008
Last updated
07/14/2022
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