| Organization Name: | BRIDGEWAY, INC |
| NPI Number: | 1114140621 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIM STARNES (CEO) |
| Mailing Address: | 2323 Windish Dr Galesburg |
| State: | IL US |
| Postal Code: | 614019780 |
| Phone Number: | 3093444200 |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | =========020 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |