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 | 323P00000X Psychiatric Residential Treatment Facility (Licence: AK 20467) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2016-01-28 |