Pathways Community Behavioral Healthcare, Inc | |
1450 E 10th St Rolla MO 65401-3648 | |
(573) 364-7551 | |
(816) 318-3076 |
Full Name | Pathways Community Behavioral Healthcare, Inc |
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Speciality | Community/behavioral Health |
Location | 1450 E 10th St, Rolla, Missouri |
Authorized Official Name and Position | Mel Fetter (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6608858131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pathways Community Behavioral Healthcare, Inc 1450 E 10th St. Rolla MO 65401-3648 Ph: (573) 364-7551 | Pathways Community Behavioral Healthcare, Inc 1450 E 10th St Rolla MO 65401-3648 Ph: (573) 364-7551 |
NPI Number | 1235433988 |
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Provider Enumeration Date | 01/10/2011 |
Last Update Date | 01/10/2011 |
Identifier | Type | State | Issuer |
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1235433988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 000739 (Missouri) | Primary |
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