| NPI | 1710149661 |
|---|---|
| Doing Business As | THE PATHWAY HOME COTTONWOOD |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON VP Finance 907-729-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2024-10-15 |