Organization
BRIDGE YOUTH & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER NOEL MLYNEK (QUALITY ASSURANCE AND COMPLIANCE DI)
(847) 485-3091
Entity
Organization
Contact information
Practice address
721 S QUENTIN RD STE 103, PALATINE, IL 60067-6778
(847) 485-3091
(847) 359-7525
Mailing address
721 S QUENTIN RD STE 103, PALATINE, IL 60067-6778
(847) 485-3091
(847) 359-7525
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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