| Pathways Of Life Llc | |
|
3817 Russet Falls St Las Vegas NV 89129-7644 | |
| (909) 991-5571 | |
| Not Available |
| Full Name | Pathways Of Life Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3817 Russet Falls St, Las Vegas, Nevada |
| Authorized Official Name and Position | Brian Simmons (OWNER) |
| Authorized Official Contact | 9099915571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Of Life Llc 3817 Russet Falls St Las Vegas NV 89129-7644 Ph: (909) 991-5571 | Pathways Of Life Llc 3817 Russet Falls St Las Vegas NV 89129-7644 Ph: (909) 991-5571 |
| NPI Number | 1265284665 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265284665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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