PATHWAYS ADULT LIVING INC NPI 1619207206

NPI Information

NPI: 1619207206
Provider Name: PATHWAYS ADULT LIVING INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
921 W CANNON ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 810-0606
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PATHWAYS ADULT LIVING INC is a community based residential treatment facility mental illness in Fort Worth, TX. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PATHWAYS ADULT LIVING INC NPI is 1619207206. The provider is registered as an organization entity type.

The provider's business location address is:

921 W CANNON ST
FORT WORTH, TX
ZIP 76104-026
Phone: (817) 810-0606
Fax: (817) 810-0616

The provider's authorized official is Lynda Joyce Bryant .
The authorized official title is Executive Director and has the following contact phone number (817) 726-2974.

The enumeration date for this NPI number is 1/5/2010 and was last updated on 1/5/2010.

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		124381	TEXAS	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

NPI Synchronization or Removal

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