| Pathways To A Better Life, Llc | |
|
1102 W 1st Street Waldo WI 53093 | |
| (920) 894-1374 | |
| Not Available |
| Full Name | Pathways To A Better Life, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1102 W 1st Street, Waldo, Wisconsin |
| Authorized Official Name and Position | Emily Judith Portschy (SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Contact | 9202074986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways To A Better Life, Llc 10406 Rabe Road Keil WI 53042 Ph: () - | Pathways To A Better Life, Llc 1102 W 1st Street Waldo WI 53093 Ph: (920) 894-1374 |
| NPI Number | 1528630910 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 07/14/2021 |
| Certification Date | 07/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528630910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |