| Path To Healing, Inc. | |
|
404 N Galena Ave Suite L10 Dixon IL 61021-2115 | |
| (815) 288-1235 | |
| (815) 288-0034 |
| Full Name | Path To Healing, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 404 N Galena Ave, Dixon, Illinois |
| Authorized Official Name and Position | Melissa A Gates (OWNER/PRACTITIONER) |
| Authorized Official Contact | 8152881235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path To Healing, Inc. 404 N Galena Ave Suite L10 Dixon IL 61021-2115 Ph: (815) 288-1235 | Path To Healing, Inc. 404 N Galena Ave Suite L10 Dixon IL 61021-2115 Ph: (815) 288-1235 |
| NPI Number | 1396082087 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 01/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396082087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149010806 (Illinois) | Primary |
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