| Paving The Way Foundation | |
|
44818 Fern Ave Ste 105 Lancaster CA 93534-3153 | |
| (661) 317-0490 | |
| Not Available |
| Full Name | Paving The Way Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 44818 Fern Ave Ste 105, Lancaster, California |
| Authorized Official Name and Position | Janie Hodge (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6613170490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paving The Way Foundation 44818 Fern Ave Ste 105 Lancaster CA 93534-3153 Ph: (661) 317-0490 | Paving The Way Foundation 44818 Fern Ave Ste 105 Lancaster CA 93534-3153 Ph: (661) 317-0490 |
| NPI Number | 1679335103 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679335103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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