| NPI | 1952439523 |
|---|---|
| Doing Business As | PATHWAYS COMMUNITY BEHAVIORAL HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | TERESA PORTER Credentialing/Contracting Manager 660-890-8186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-03-17 |