| NPI | 1336654854 |
|---|---|
| Doing Business As | PATH BEHAVIORAL HEALTH- SUD |
| Entity Type | Organization |
| Authorized Contact | ABBIE CARPENTER Credentialing Specialist 307-794-6285 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2024-11-08 |