Lifehouse Bridge Group, LLC
NPI #1760074991 in Blue Island, Illinois
Provider Information
- NPI Number
- 1760074991
- Entity Type
- Organization
- Organization Name
- Lifehouse Bridge Group, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 9, 2021
- Last Updated
- Feb 9, 2021
Practice Location
- Address
- 14127 LEAVITT AVE
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-3242
- Phone
- (847) 839-1525
Authorized Official
- Name
- MR. JESSE FULLER
- Title
- MEMBER
- Phone
- (847) 839-1525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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