| The Pathway Program | |
|
3900 Rocklin Rd Ste 100 Rocklin CA 95677-2708 | |
| (602) 568-9735 | |
| Not Available |
| Full Name | The Pathway Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3900 Rocklin Rd Ste 100, Rocklin, California |
| Authorized Official Name and Position | Joshua Locke Azevedo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4809214050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Pathway Program 2036 N Gilbert Rd Ste 2-262 Mesa AZ 85203-2139 Ph: (602) 568-9735 | The Pathway Program 3900 Rocklin Rd Ste 100 Rocklin CA 95677-2708 Ph: (602) 568-9735 |
| NPI Number | 1750997003 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750997003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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