Bridges Academy, LLC
Community/Behavioral Health in Chicago, IL. Organization (NPI-2).
NPI number1083010342
StatusActive
Last updated in NPPESNov 14, 2014
Details
- NPI
- 1083010342
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridges Academy, LLC
- Organization subpart
- No
- Enumeration date
- Nov 14, 2014
- Last updated
- Nov 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 10-7278 | IL | Yes |
| 103K00000X | Behavior Analyst | 10-7278 | IL |
Other names
- Indivisual Consulting, LLC (Former Legal Business Name)
Practice location
5911 N Leader AveChicago, IL 60646-5625
Phone 773-332-7382 · Fax 773-305-0915
Mailing address
5911 N Leader AveChicago, IL 60646-5625
Phone 773-332-7382 · Fax 773-305-0915
Authorized official
Jayme L Crooks
Executive Director
7733327382
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