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 |