Organization
BRIDGEWAY, INC
Active
Other names
HENDERSON COUNTY OUTPATIENT
Organization subpart
No
Provider details
NPI number
Authorized official
JIM STARNES (CEO)
(309) 837-4876
Entity
Organization
Contact information
Practice address
900 S DEER RD, MACOMB, IL 61455-2639
(309) 837-4876
Mailing address
900 S DEER RD, MACOMB, IL 61455-2639
(309) 837-4876
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
027
IL
Other
Enumeration date
04/11/2007
Last updated
07/21/2022
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