| NPI | 1750997003 |
|---|---|
| Doing Business As | THE PATHWAY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JOSHUA LOCKE AZEVEDO Executive Director 480-921-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2023-01-30 |