NPI 1972967842

Bridgeway INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Galesburg, IL

Practice location

Address: 2323 Windish Dr, Galesburg, IL 61401-9780
Phone: (309) 344-2323
Fax: (309) 344-4281

Authorised official

Name: William Nelson
Title: Ceo
Phone: (309) 344-4337

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Illinois →

Registry record

NPI: 1972967842
Entity type: Organization
NPI issued: 7 Apr 2016
Record last updated: 7 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.