| The Pathway Home Cottonwood | |
|
3550 Cottonwood St Anchorage AK 99508-4352 | |
| (907) 729-2500 | |
| Not Available |
| Full Name | The Pathway Home Cottonwood |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 3550 Cottonwood St, Anchorage, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (VP FINANCE) |
| Authorized Official Contact | 9077294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Pathway Home Cottonwood 4501 Diplomacy Dr Attn: Provider Enrollment Anchorage AK 99508-5919 Ph: (907) 729-4955 | The Pathway Home Cottonwood 3550 Cottonwood St Anchorage AK 99508-4352 Ph: (907) 729-2500 |
| NPI Number | 1710149661 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710149661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
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