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)
(660) 665-1962
Entity
Organization
Contact information
Practice address
10024 OFFICE CENTER AVE STE 125, SAINT LOUIS, MO 63128-1390
(636) 224-1600
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
04/07/2023
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