Organization
BRIDGES TO A NEW DAY,NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN S. KHAN LCPC, CDVP (EXECUTIVE DIRECTOR)
(815) 838-2690
Entity
Organization
Contact information
Practice address
1135 E 9TH ST, LOCKPORT, IL 60441-3219
(815) 838-2690
(815) 838-2692
Mailing address
1135 E 9TH ST, LOCKPORT, IL 60441-3219
(815) 838-2690
(815) 838-2692
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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