| NPI | 1023611290 |
|---|---|
| Doing Business As | BH 1115- PATHWAY HOME |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON Executive Vice President Of Finance 907-729-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2023-08-30 |