| NPI | 1922748516 |
|---|---|
| Doing Business As | PATHSTONE DAY LIVING |
| Entity Type | Organization |
| Authorized Contact | LORETTA LEWIS Sr. Credentialing Specialist 651-766-4375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |