| NPI | 1558811562 |
|---|---|
| Former Legal Business Name | PATHWAY PARTNERS, LLC |
| Entity Type | Organization |
| Authorized Contact | DAN BOECKMAN Manager 214-522-7296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-11-10 |