Organization
BRIDGE2HORIZON WELLNESS RESOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADISLAV M VAYNGART (OWNER/COO)
(847) 630-0151
Entity
Organization
Contact information
Practice address
1020 MILWAUKEE AVE STE 235, DEERFIELD, IL 60015-3555
(847) 975-2331
Mailing address
1020 MILWAUKEE AVE STE 235, DEERFIELD, IL 60015-3555
(847) 630-0151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
11/20/2018
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