NPI | 1083033591 |
---|---|
Doing Business As | PATHWAYS COMMUNITY BEHAVIORAL HEALTHCARE |
Entity Type | Organization |
Authorized Contact | TERESA PORTER Credentialing/Contracting Manager 660-890-8156 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-04-11 |
Last Update Date | 2022-02-07 |