Organization
A BRIDGE BACK, INC.
Active
Organization
A BRIDGE BACK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRY LIKTEREV (OWNER)
(847) 414-3517
Entity
Organization
Contact information
Practice address
1655 N ARLINGTON HEIGHTS RD STE 305E, ARLINGTON HEIGHTS, IL 60004-3978
(844) 427-6739
Mailing address
1655 N ARLINGTON HEIGHTS RD STE 305E, ARLINGTON HEIGHTS, IL 60004-3978
(844) 427-6739
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/14/2024
Last updated
02/12/2026
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