| Desert Path | |
|
12170 E Cornville Rd Cornville AZ 86325-5260 | |
| (928) 301-4596 | |
| (928) 708-9620 |
| Full Name | Desert Path |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 12170 E Cornville Rd, Cornville, Arizona |
| Authorized Official Name and Position | Linda Cathcart (CEO) |
| Authorized Official Contact | 9283014596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Path 12170 E Cornville Rd Cornville AZ 86325-5260 Ph: (928) 301-4596 | Desert Path 12170 E Cornville Rd Cornville AZ 86325-5260 Ph: (928) 301-4596 |
| NPI Number | 1649676040 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649676040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |