| Pathtaker | |
|
883 Donnie Stevens Rd Judsonia AR 72081-9235 | |
| (501) 365-1127 | |
| Not Available |
| Full Name | Pathtaker |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 883 Donnie Stevens Rd, Judsonia, Arkansas |
| Authorized Official Name and Position | Peter Romano (CEO) |
| Authorized Official Contact | 5013651127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathtaker 883 Donnie Stevens Rd Judsonia AR 72081-9235 Ph: () - | Pathtaker 883 Donnie Stevens Rd Judsonia AR 72081-9235 Ph: (501) 365-1127 |
| NPI Number | 1164244653 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164244653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |