NPI | 1326122359 |
---|---|
Doing Business As | PATHWAYS COMMUNITY BEHAVIORAL HEALTHCARE |
Entity Type | Organization |
Authorized Contact | TERESA PORTER Credentialing/Contracting Manager 660-890-8186 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2015-03-17 |