| NPI | 1194987370 |
|---|---|
| Doing Business As | THE PATHWAY HOME RENDEZVOUS |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON VP Of Finance 907-729-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AK 20467) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2016-01-28 |