Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Adolescent and Children Mental Health |
261QM0855X | |||
Adult Mental Health |
261QM0850X | |||
Clinic/Center |
261Q00000X | |||
Community/Behavioral Health |
251S00000X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI Number | 1609889351 |
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| LBN Legal business name | PATHWAY TO RECOVERY COUNSELING & EDUCATIONAL SERVICES | ||||||||
| Authorized official | KATIE PETROLE - (PRESIDENT & CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/14/2006 | ||||||||
| Last updated | 05/14/2024 - About 2 years ago | ||||||||
| Identifiers |
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