FSL PATHWAYS NPI 1346306180

NPI Information

NPI: 1346306180
Provider Name: FSL PATHWAYS

Other Name: AGL - CABOT

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2420 E JOHN CABOT RD
PHOENIX, AZ
ZIP 85032
Phone: (602) 765-4680
Get Directions

FSL PATHWAYS is a community based residential treatment facility mental illness in Phoenix, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. FSL PATHWAYS NPI is 1346306180. The provider is registered as an organization entity type.
The provider Other Name Is Agl - Cabot.

The provider's business location address is:

2420 E JOHN CABOT RD
PHOENIX, AZ
ZIP 85032-036
Phone: (602) 765-4680

The provider's authorized official is Annette Iniguez .
The authorized official title is Exec Asst and has the following contact phone number (602) 285-0505.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		BH2534	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BH2534	OTHER	ARIZONA	ADHS BHS LICENSE
2	917065	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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