| NPI | 1639102882 |
|---|---|
| Doing Business As | BSD- PATHWAY HOME |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AK 20467) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-09-14 |