NPI | 1306260005 |
---|---|
Former Legal Business Name | PATHWAYS TO WELLNESS, LLC |
Entity Type | Organization |
Authorized Contact | JENNIFER ANN BAUMGARDNER BARNES President And Provider 612-474-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 251S00000X (Licence: CO 1681) |
Enumeration Date | 2014-02-15 |
Last Update Date | 2020-09-03 |