NPI | 1245669266 |
---|---|
Doing Business As | PATHWAYS COMMUNITY BEHAVIORAL HEALTHCARE |
Entity Type | Organization |
Authorized Contact | TERESA PORTER Credentialing Manager 660-890-8156 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-11-12 |
Last Update Date | 2020-10-28 |