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COMPASSION PATHWAY BEHAVIORAL HEALTH LLC NPI 1497406425


NPI Information

NPI: 1497406425
Provider Name: COMPASSION PATHWAY BEHAVIORAL HEALTH LLC

Doing Business As: COMPASSION SPRINGS SRF

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
4229 TOYAN DR
DIAMOND SPRINGS, CA
ZIP 95619
Phone: (916) 870-9676
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COMPASSION PATHWAY BEHAVIORAL HEALTH LLC is a community based residential treatment facility mental illness in Diamond Springs, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COMPASSION PATHWAY BEHAVIORAL HEALTH LLC NPI is 1497406425. The provider is registered as an organization entity type.
The provider Is Doing Business As Compassion Springs Srf.

The provider's business location address is:

4229 TOYAN DR
DIAMOND SPRINGS, CA
ZIP 95619-702
Phone: (916) 870-9676

The provider's authorized official is Ifeanyi Ezeani .
The authorized official title is Chief Executive Officer and has the following contact phone number (916) 870-9676.

The enumeration date for this NPI number is 1/11/2022 and was last updated on 3/3/2022.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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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