| Behavioral Pathways | |
|
4841 W Ave. L14 Apt. 10 #1037 Lancaster CA 93536 | |
| (661) 974-4496 | |
| (213) 214-0629 |
| Full Name | Behavioral Pathways |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4841 W Ave. L14 Apt. 10, Lancaster, California |
| Authorized Official Name and Position | Manuel David Rodriguez (OWNER/SUPERVISOR) |
| Authorized Official Contact | 6619744496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Pathways 11930 Amargosa Rd. Suite 1 #1037 Victorvillle CA 92392 Ph: (661) 974-4496 | Behavioral Pathways 4841 W Ave. L14 Apt. 10 #1037 Lancaster CA 93536 Ph: (661) 974-4496 |
| NPI Number | 1780457945 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780457945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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