Organization
BRIDGEWAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY LEE RUSHING (BENEFIT SPECIALIST)
(309) 344-4250
Entity
Organization
Contact information
Practice address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-4250
(309) 344-4368
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-4250
(309) 344-4368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149015718
IL
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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