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AZEVEDO INC DBA THE PATHWAY PROGRAM NPI 1750997003


NPI Information

NPI: 1750997003
Provider Name: AZEVEDO INC DBA THE PATHWAY PROGRAM

Doing Business As: THE PATHWAY PROGRAM

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
3900 ROCKLIN RD STE 100
ROCKLIN, CA
ZIP 95677
Phone: (602) 568-9735
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AZEVEDO INC DBA THE PATHWAY PROGRAM is an addiction (substance use disorder) counselor in Rocklin, CA. AZEVEDO INC DBA THE PATHWAY PROGRAM NPI is 1750997003. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Pathway Program.

The provider's business location address is:

3900 ROCKLIN RD STE 100
ROCKLIN, CA
ZIP 95677-708
Phone: (602) 568-9735

The provider's authorized official is Joshua Locke Azevedo .
The authorized official title is Executive Director and has the following contact phone number (480) 921-4050.

The enumeration date for this NPI number is 9/22/2020 and was last updated on 1/30/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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

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