Fsl Pathways, NPI 1467518985
Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1467518985 |
| NPI Entity Type | Organization |
| Provider Name |
Fsl Pathways
Other Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 3916 W Evans Dr, Phoenix, AZ, US |
| Provider Mailing Address | 1201 E Thomas Rd, Phoenix, AZ, US, 850145734 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MS. Annette Iniguez |
| Official Position | EXEC ASST |
| Phone | 602-285-0505 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Mental Illness Community Based Residential Treatment Facility |
| Classification |
Community Based Residential Treatment Facility, Mental Illness |
| Group | |
| License No. | BH2217 |
| License State | AZ |
| Description | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 844896 | AZ | MEDICAID | 05 |
| BH2217 | AZ | ADHS BHS LICENSE | 01 |
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MOT OTR/L, BCP, CIMI Victoria Wicus Individual |
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