| NPI | 1366575623 |
|---|---|
| Former Legal Business Name | PATHWAY PROVIDER SERVICES LTD |
| Entity Type | Organization |
| Authorized Contact | JAMES A QUANDT President 708-383-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |