PATH TO PROGRESS NPI 1316719974

NPI Information

  • NPI: 1316719974
  • Provider Name: PATH TO PROGRESS
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 03D2309095
  • Address: 2727 W GLENDALE AVE # 202
    PHOENIX, AZ
    ZIP 85051
  • Phone: (334) 237-9788

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NPI Details

PATH TO PROGRESS is a rehabilitation and substance use disorder clinic center in Phoenix, AZ. PATH TO PROGRESS NPI is 1316719974. The provider is registered as an organization entity type.

The provider's business location address is:

2727 W GLENDALE AVE # 202
PHOENIX, AZ
ZIP 85051-447
Phone: (334) 237-9788

The provider's authorized official is Maiah Dahl .
The authorized official title is Co-owner and has the following contact phone number (334) 237-9788.

The CLIA number assigned to this NPI record is 03D2309095 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2023 and was last updated on 10/26/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 11/21/2025

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